44 years old woman with dizziness and seizure

Case provided by Christian History 44 years old woman with new onset generalized tonic-clonic seizure. Episodes of dizziness in the past few weeks. Imaging The CT scan shows signs of an acute obstructive hydrocephalus with a swollen cortex and no visible outer CSF (image A). There is an impression of a reduced grey-white matter differentiation.…

49 years old male with hypoxemia

Case provided by Simone History 49 years old male with stress dyspnea and known liver cirrhosis. Blood gas analysis: pO2 62 mmHg.  Imaging findings Abdominal computed tomography shows evidence of liver cirrhosis with status post transjugular intrahepatic stent shunt (A). The chest scans shows dilated pulmonary vessels abnormally extending to the subpleural space and being accentuated…

74 years old male with stress dyspnea

Case provided by Anja History 74 years old male with stress dyspnea and nonproductive cough. Restrictive ventilation abnormality at lung function testing. Imaging findings Conventional x-ray of the chest shows basal-predominant reticular abnormalities with volume loss (A). Computed tomography of the chest shows reticular architectural distortion with thickening of inter- and intralobular septae, traction bronchiectasis,…

35 years old male with diarrhea and weight loss

History 35 years old male with recurrent episodes of diarrhea for 1 year. Presentation with Quick value <10%, iron deficiency anemia, and vitamine B12 deficiency. Imaging findings At MRI enterography there is segmental ileal wall thickening with evidence of fat tissue within the thickened bowel loop (A, T2-weighting). The contrast-enhanced scan in coronal orientation shows…

35 years old female with peranal bleeding

History A 35 years old female with known type 1 neurofibromatosis presented with lower gastrointestinal bleeding. At upper and lower endoscopy the source of the bleeding could not be identified. Imaging findings Unenhanced (A), arterial phase (B), and portal venous phase (C) CT scans show a well-defined mass with heterogenous enhancement at the outer aspect…