Quiz 20
Image: Questions: Name the examination. Name the labelled structures. Answers: MRI brain sagittal plane in T1-weighted image, non contrast. The labelled structures: Frontal sinus Frontal lobe Body of corpus callosum…
Small cell lung carcinoma
Clinical: A 54 years old man Background history of schizophrenia and hypertension Initial presentation with vomiting and unsteady gait CT scan shows cerebellar lesion Also noted to have lung lesion…
Barton fracture
Clinical: A 59 years old lady Fall on outstretched left hand Presented with pain at left wrist Clinically deformed swelling of left wrist “Piano sign” positive Radial pulse palpable Radiographic…
Colles fracture
Clinical: A 57 years old lady Fall with outstretched hand Complains of painful swelling of the right wrist Clinically swollen and deformed distal right upper limb, at wrist region Shoulder…
Osmotic demyelination syndrome
Case contribution: Dr Raja Rizal Azman Clinical: A 54-year old homeless man with a history of alcoholism Presents with drowsiness and associated cough and fever. The patient was admitted and…
Arnold chiari malformation with syringohydromyelia
Clinical: A 36-year old man No known medical problem Presented with chronic headache and recent muscle weaknesses involving both hands. There was no history of trauma. MRI findings: MRI of…
Acute transverse myelitis
Clinical: A 6-year old boy presented Previously well and healthy Presented with fever, lethargy and poor oral intake for few days. Examination showed bilateral lower limb weakness and hypotonia. MRI…
Hookwire localisation of breast lesion
Clinical: A 47 years old lady Came for screening mammogram Asymptomatic No family history of cancer Mammogram findings: Bilateral fatty breasts (Birads a) with symmetrical parenchymal pattern. There is a…
Pituitary apoplexy 2
Clinical: A 64-year-old man with pituitary macroadenoma. Transphenoidal surgery was done 12 years ago. He was under yearly MRI surveillance for residual tumour. He presented with sudden onset of headache…
Pituitary macroadenoma
Clinical: A 57-year-old man Presented with headache and diplopia. Clinical examination showed ptosis of left eye with CNIII palsy. There was no body weakness. Imaging finding: The non-contrast axial plane…