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  • Shivaprasad Savagave Interesting radiology cases. 09/05/2015

    Case of CPAM who presented with respiratory distress and CT and chest radiograph features suggestive of congenital lobar overinflation (CLO)....

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  • amer ameli Chest & Cardiac Imaging 11/24/2014

    Ct scan of the previous the same patient whose X-ray has been published before. Although the X-ray is not in a very good quality but the clinical picture enabled us to reach the diagnosis, further CT ...

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  • New member:

    Madhurima Sharma

    Radiologist India,


  • New member:

    Dr. Veres Krisztian

    Radiologist Hungary, Budapest


  • Tushar Garg

    2018-07-29 23:47:12 Visible by anyone.
  • New member:

    Technologist USSR,


  • Elie Najem

    2018-11-12 03:05:02 Visible by anyone.

    Questions and Answers:


    1.      The most common site of intracranial calcifications in the pediatric population is:

    a.       Cerebellum

    b.      Periventricular region

    c.       Pineal gland

    d.      Thalamus

    e.       Falx cerebri


    Answer: c. In the pediatric population, they are typically seen in the pineal gland and choroid plexus. Pineal calcifications <1cm, appear as dots and tend to be benign in 40% of individuals less than 20 years old. Whereas pineal calcifications >1cm in patients younger than 9 years should be regarded as pathologic and warrant further investigation.


    2.      A blush-like pattern calcifications in the bilateral basal ganglia in a child is typically seen in:

    a.       Tuberous sclerosis

    b.      Raine syndrome

    c.       Krabbe’s disease

    d.      Sturge-Weber  syndrome

    e.       Neurofibromatosis


    Answer: c. Krabbe’s disease is an autosomal recessive demyelinating disorder affecting infants due to galactocerebroside b-galactosidase deficiency leading to accumulation of abnormal lipids. A symmetrical blush-like pattern of calcifications in the bilateral basal ganglia is characteristic.


    3.      A 3 day-old boy was admitted to the neonatal intensive care unit after an episode of tonic-clonic seizure. His mother denied prenatal care. Non-contrast CT was showed both sub-ependymal and periventricular calcifications with cerebral volume loss. What is the most likely diagnosis?

    a.       Tuberous sclerosis

    b.      Congenital CMV

    c.       Congenital hypothyroidism

    d.      Neurofibromatois

    e.       Hypoglycemia-induced seizure


    Answer: b. Congenital Cytomegalovirus (CMV): Incidence is 0.2-2.4% of live births. Intracranial calcifications are seen in 77% of those with imaging abnormalities typically in the sub-ependymal and periventricular regions of the brain along with brain atrophy.


    4.      Among all the intra-axial brain tumors, which of the following is mostly associated with intracranial calcifications?

    a.       Oligodendroglioma

    b.      Pilocytic astrocytoma

    c.       Dysembryonic neuroectodermal tumors

    d.      Medulloblastoma

    e.       Metastasis


    Answer: a. Oligodendrogliomas exhibit the highest frequency of calcifications (up to 90%). Calcifications can be scattered dots or clumped together to form large nodules, located centrally or peripherally and frequently in the frontal lobes.


    5.      A 50-year-old female patient presented with dry coughfatigue, and shortness of breath. On physical exam she has tender reddish bumps on the skin. Review of the systems revealed seizures and depression. CXR showed enlarged hilar lymph nodes and CT scan of the brain showed small calcified masses in the leptomeninges and periventricular white matter. What is the most likely diagnosis?

    a.       Hypothyroidism

    b.      Hyperparathyroidism

    c.       Hemochromatosis

    d.      Chronic lead toxicity

    e.       Sarcoidosis


    Answer: e. Sarcoidosis affects many organs including the CNS, lungs and skin. On non-contrast CT scan of the brain, small calcified granulomas can be seen in the leptomeninges, periventricular white matter, pons, hypothalamus, pituitary stalk, and optic chiasm with varying degrees of edema.


  • yudell edelstein

    2019-02-09 21:57:24 Visible by anyone.

    Comment my case

    Ruptured Mucinous Adenocarcinoma of the Appendix
    The uploaded images are not showing up

  • Connor Crowley Chest & Cardiac Imaging 04/17/2017

    CASE: A three-year-old male presented with a one-week history of fussiness, lack of appetite, intermittent nausea and vomiting, and a one-day history of fever. Five weeks prior, he had a VP shunt p...

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  • New member:

    James Hill

    Recruiter Australia, NSW


  • New member:

    Tafseer Ahmed



  • New member:

    Virgil Peck

    Non-Radiologist physician United States, California


  • Mark Sharafinski Neuroradiology 11/20/2014

    Figure 2. 11 year old male with primary CNS germ cell tumor. Follow-up MRI performed approximately 6 weeks later, post-chemotherapy. A. Findings: Sagittal T1-weighted MRI demonstrates interval grow...

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  • New member:

    Mohamed Awali

    Radiology resident Lebanon,


  • New member:

    santosh kumar

    Technologist student India, Telangana


  • New member:

    Conrad Jackson

    Radiology resident Australia,


  • New member:

    Hedieh Khalatbari

    Radiologist United States, Washington

    Board certified in radiology and nuclear medicine with subspecialty training in Neuroradiology, Pediatric Radiology, and PET-CT....

  • amer ameli Abdominal Imaging 01/15/2015

    23 years old male dyer complaining from right shoulder pain all Examination normal apart from ultrasound which i do for all my patient as routine examination see finding in u/s which confirmed by CT s...

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  • New member:

    mayomi onuwaje

    Radiologist Nigeria, DELTA

    Consultant radiologist with Lily hospital Warri...