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A Nelson catheter alternative for hematoma drainage

68yo male presenting with right hemiparesis, a CT was performed and a subdural hematoma was diagnosed, a craniotomy for hematoma ...


T12 burst with paraplegia

Chronic pain pt involved in moderate speed MVC. Restrained driver. C/o inability to feel legs or move them. T12 burst ...


Meningitis on CT

A child presents with classic symptoms headache, neck pain and fevers. What's the finding on this brain CT?


Ruptured dermoid with chemical meningitis on CT

answer to previous case


Strategies for lip biting in patients with a brain injury

3 solutions to the lip-biting problem in this young patient with bad brain injury. Image #1 is a scissor clamp, ...


Embryonal rhabdomyosarcoma on MRI

4 Y/O Female with hx. of Embryonal Rhabdomyosarcoma. S/P End of Chemo and port removal. Sadly, there has been a ...


Heparin-induced thrombocytopenia

Female 71 years old with mediastinal neoplasm infiltrating the superior vena cava and right atrium (histology: thymoma type A). Clinical ...


Brain angiogram for 3D printing

Brain angio ready for 3D Printing.


Infarct in left recurrent artery of Heubner

Middle aged woman with history of hypertension. She presents with acute onset trouble speaking and abnormal arm movements. Name the ...


Diffuse idiopathic skeletal hyperostosis on x-ray

69 year old male. Chronic back pain for last 15 years after sustaing a back injury at the time thought ...


Congenital hydrocephalus

12 year old female came in for tonic clonic seizure diagnosed with congenital hydocephalus at 7mos AOG. Head circumference measured ...


Severe scoliosis on chest xray

Severe #Scoliosis secondary to traumatic injury in a 60 year old man


Liver tumor with spinal metastases on CT abdomen

update from previous case. Abd CT to show liver mass that formed C1 spine mets


Skull fracture on skull CT and xray

Midline breakage in the skull


Right hemispherectomy on CT

Right Hemispherectomy


Infected post-op incision on spine.

#Postoperative-care update post up day 5 untethering of spinal cord in 6 month old baby. After being contaminated with feces ...



# Low grade #Glioma # cortical stimulation


Posterior cerebral artery stroke on CT

49YOM presents to the er complaining of dizziness and "not being able to track things in his head." Also reports ...


Left temporal epidural hematoma on CT

Head trauma & sequela: 52yoM bike accident presented in coma with dilated left pupil, intubated. CT shows left temporal epidural ...



Fluconazole is an Azole antifungal drug, which decreases ergosterol synthesis & interferes w/ fungal cell membrane formation. Beware QTc prolongation, ...


oblique x-ray of acute and healing rib fractures

An oblique chest image in a 4 month old demonstrates acute (red arrows) and healing (black arrow) rib fractures concerning ...


CT of brain stem compression, extensive edema, occipital and temporoparietal hematoma

44yo woman with eclampsia (seizures, headache, hypertension 240/120) who 18h earlier had an emergency c-section in a 2nd level hospital, ...


Meningioma 5cm posterior fossa compressing brain stem

52 yo F presented after PCP tested and MRI. Patient has had HA for years but that last 3 mo ...


Cephalohematoma in the left parietal bone

Coronal CT image in a 3 month old with swelling since birth shows an evolving cephalohematoma in the left parietal ...


T1 sagittal image of large meningioma

1. Large meningioma, T1 image sagittal, presented with seziures. 2. T1 image, cornal. 3. Angiogram the day before surgery showing ...


Intracerebral mass with significant midline shift on MRI

35 yo white male presented to ED with headache, facial numbness. Pt reported 6 mos or greater hx intermittent HA. ...


Clot removed from the left M1 segment of the Middle cerebral artery

80yo F presents to the ED aphasic and right sided paralysis. CT confirms left M1 clot. Pt sent to Cath ...


3D facial reconstruction of fractured left eye socket

23 y/o m dx: mpi 2' to va motorcycle accident. 3d facial reconstruction. L eye socket totally busted floors both ...


Neuroblastoma on chest MRI

Axial STIR MR image in a toddler with an abnormal chest radiograph shows a round, solid paraspinal mass (arrows) which ...


Noncommunicating hydrocephalus

2 VP shunt cases- 2 different outcomes. 1st case: 45yoM with noncommunicating hydrocephalus s/p post fossa tumor removal with change ...

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