- Joined
- Nov 26, 2013
- Messages
- 1,352
- Reaction score
- 193
thank you for the input. I just wanted to see you guys' thought processing....
yeah when I first saw this I thought the image and the clinical vignette did not match as I was thinking about tumor or some kind of abscess....
So is T2 weighted an important clue here too?
Here is the clinical vignette given:
1. a 50 yr old man with a past medical hx of including paresthesias, difficulty moving one or more extremities, loss of sensation, and ataxia over the past 22 years.
2. These problems have waxed and waned.
3. His brain T2-weighted MR image is shown.
You got it Kirby! it's MS! btw, you are in the 3rd yr right? how is it going? how did your step 1 go?Honestly, I'm not sure. I was thinking cystic/fluid because T2 makes fluids bright.
But that vignette sounds more like multiple sclerosis than anything else, unless I'm missing something. I suppose those white areas could be plaques.
You got it Kirby! it's MS! btw, you are in the 3rd yr right? how is it going? how did your step 1 go?
Haha, do we have any surrounding patient info? I'll say:
-Intraparenchymal abscess
-Intraparenchymal bleed
-Tumor/malignancy (cystic types)
-Neurocysticercosis