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CASE A A 9-month-old infant after a fall. CT, computed tomography; 3D, three dimensional. Open full size image CASE B A 45-year-old woman after a fall. Ax , axial; Cor , coronal; CT, computed tomography. Open full size image CASE C A woman of unknown age who sustained head trauma. Cor , coronal; CT, computed tomography; 3D, three dimensional. Open full size image CASE D A…

CASE A A 15-year-old girl with a history of panic disorder and migraines presenting with a change in mental status. Ax , axial; Cor , coronal; CT , computed tomography; Lat , lateral; Sag , sagittal. Open full size image CASE B A 69-year-old woman with a history of multiple paragangliomas and squamous cell and basal cell skin cancer presenting with a palpable left parietal calvarial…

CASE A A 48-year-old woman with a history of lupus with severe vision loss. Cor, coronal; Sag, sagittal. Open full size image CASE B A 55-year-old man with long-standing left-sided facial weakness. Ax, axial; CT, computed tomography. Open full size image CASE C A 56-year-old man presenting with a 10-day history of left-sided facial weakness. Ax, axial. Open full size image CASE D A 63-year-old man…

CASE A A 19-year-old Asian man presenting with headaches and visual difficulties. CT, computed tomography; DWI, diffusion-weighted imaging. Open full size image CASE B A 55-year-old woman presenting with headaches, nausea, and vomiting. CT , computed tomography; DWI , diffusion-weighted imaging. Open full size image CASE C A 24-year-old man presenting with excessive thirst. FS , fat saturated. Open full size image DESCRIPTION OF FINDINGS Case…

CASE A A 19-year-old woman presenting with chronic visual changes, amenorrhea, and weight gain. Ax, axial; CT, computed tomography; DWI, diffusion-weighted imaging; Sag, sagittal. Open full size image CASE B A 70-year-old woman presenting after sustaining trauma. Ax, axial; CT, computed tomography; DWI, diffusion-weighted imaging; Sag, sagittal. Open full size image CASE C A 41-year-old man presenting with headaches. Ax, axial; CT, computed tomography; DWI, diffusion-weighted…

CASE A A 2-year-old boy presenting with unsteadiness and lethargy. Open full size image CASE B An 8-year-old boy presenting with emesis and headache. Open full size image CASE C A 45-year-old man with morning headaches and occasional nausea and vomiting. Open full size image CASE D A 32-year-old Latin American woman presenting with a severe headache. Open full size image DESCRIPTION OF FINDINGS Case A:…

CASE A A 54-year-old asymptomatic woman. FLAIR, fluid attenuated inversion recovery. Open full size image CASE B A 53-year-old woman presenting with dizziness, diplopia, and blurred vision. Open full size image CASE C A 32-year-old Latin American woman presenting with a severe headache. CT, computed tomography; DWI, diffusion-weighted imaging; FLAIR, fluid attenuated inversion recovery. Open full size image CASE D A 37-year-old man presenting with a…

CASE A A 20-year-old man presenting with a 2-month history of a worsening headache. ADC, apparent diffusion coefficient; Ax, axial; CT , computed tomography. Open full size image CASE B A 25-year-old woman presenting with a 2-week history of confusion (magnetic resonance imaging after a ventriculostomy for hydrocephalus). ADC, apparent diffusion coefficient; Ax, axial; CT , computed tomography; GRE, gradient refocused echo. Open full size image…

CASE A A 47-year-old woman presenting with sudden onset of hearing loss. Ax, axial; Cor, coronal; FIESTA , fast imaging employing steady-state acquisition. Open full size image CASE B A 75-year-old man presenting with progressive left hearing loss, left facial numbness, and worsening balance. Ax, axial; Cor, coronal; FIESTA , fast imaging employing steady-state acquisition. Open full size image CASE C A 52-year-old woman presenting with…

CASE A A 16-year-old boy with “abnormal head computed tomography” after a minor head trauma. DWI, diffusion-weighted imaging; FLAIR, fluid attenuated inversion recovery. Open full size image CASE B A 49-year-old man with postconcussive syndrome after a bicycle accident. DWI, diffusion-weighted imaging; FLAIR, fluid attenuated inversion recovery. Open full size image CASE C A 50-year-old man with altered mental status. DWI, diffusion-weighted imaging; FLAIR, fluid attenuated…

CASE A An 80-year-old woman with headache and speech changes. ADC , apparent diffusion coefficient; Ax , axial; CT, computed tomography; DWI , diffusion-weighted imaging; FLAIR , fluid attenuated inversion recovery. Open full size image CASE B A 59-year-old man with hypertension and poor medical compliance was found down and unable to speak, presenting with dense right hemiplegia. ADC , apparent diffusion coefficient; Ax , axial;…

CASE A A 50-year-old man with a history of chronic obstructive pulmonary disease and hypertension was found unresponsive. ADC, apparent diffusion coefficient; Ax, axial; CT, computed tomography; DWI, diffusion-weighted imaging; FLAIR, fluid attenuated inversion recovery. Open full size image CASE B A 67-year-old man presenting with ataxia, rapidly progressive deterioration in mental status, and myoclonus. ADC, apparent diffusion coefficient; Ax, axial; DWI, diffusion-weighted imaging; FLAIR, fluid…

CASE A A 75-year-old woman presenting with ataxia. Ax, axial; Cor, coronal; CT, computed tomography; FLAIR, fluid attenuated inversion recovery; Sag, sagittal. Open full size image CASE B A 51-year-old woman presenting with headaches and weakness of the right leg. Ax, axial; Cor, coronal; CT, computed tomography; FLAIR, fluid attenuated inversion recovery; Sag, sagittal. Open full size image CASE C A 73-year-old woman presenting with headaches,…

CASE A A 65-year-old woman with memory loss. CT, computed tomography; HU, Hounsfield units; ROI, region of interest. Open full size image CASE B A 45-year-old woman with a headache. CT, computed tomography; DWI, diffusion-weighted imaging; FS , fat saturated; HU, Hounsfield units; ROI, region of interest. Open full size image CASE C A 29-year-old woman with headaches. FLAIR, fluid attenuated inversion recovery; GRE, gradient refocused…

CASE A A 45-year-old man with new-onset postural headache. Open full size image CASE B A 72-year-old man, history withheld. Open full size image CASE C A 39-year-old woman with breast cancer. Open full size image CASE D A 63-year-old man with a history of kidney transplantation. FLAIR, fluid attenuated inversion recovery. Open full size image CASE E A 55–year-old woman, history withheld. FLAIR, fluid attenuated…

CASE A A 44-year-old man who had upper respiratory infection symptoms 4 weeks earlier now presenting with severe headache, purulent otorrhea, irritability, and progressive decline of mental status. Ax , axial; Cor , coronal; Sag , sagittal. Open full size image CASE B A 38-year-old woman with a history of diabetes insipidus and hyperprolactinemia presenting with a complex partial seizure. Ax , axial; Cor , coronal;…

CASE A A 39-year-old man who had a dental procedure several weeks earlier now presenting with right leg numbness and weakness. Ax, axial; Cor, coronal; DWI, diffusion-weighted imaging. Open full size image CASE B A 37-year-old woman with a 1-month history of right-sided numbness presenting with a 3-day history of right-sided weakness. Ax, axial; Cor, coronal; DWI, diffusion-weighted imaging. Open full size image CASE C A…

CASE A A 48-year-old asymptomatic man with a strong family history of cerebral microhemorrhage. GRE, gradient refocused echo. Open full size image CASE B An 87-year-old woman with a history of hyperlipidemia, hypertension, and heart disease. GRE, gradient refocused echo. Open full size image CASE C An 18-year-old unrestrained female driver after a motor vehicle accident. ADC, apparent diffusion coefficient; DWI, diffusion-weighted imaging; GRE, gradient refocused…

CASE A A 64-year-old man with a history of amyloid angiopathy–related hemorrhages. Open full size image CASE B A 64-year-old man with a history of renal cell carcinoma, difficulty walking, and diplopia. Open full size image CASE C A 25-year-old man presenting after sustaining trauma. Open full size image CASE D A 50-year-ol man presenting with a history of headaches. Open full size image CASE E…

CASE A A 66-year-old man presenting with sudden-onset left-sided weakness. CT, computed tomography; CTA, CT angiogram. Open full size image CASE B A 77-year-old man with a history of lung cancer. CT, computed tomography. Open full size image CASE C A 73-year-old man with depression, falls, and difficulty completing sentences. CT, computed tomography; CTA, CT angiogram; FLAIR, fluid attenuated inversion recovery; gad, gadolinium; MIPS, maximum intensity…