EDiR Question of the Day 2019: #3

We dare you to solve one of the hardest questions of the EDiR examination!
The European Board of Radiology raffles amongst the winners an examination place for the EDiR that will take place at the ECR 2020.

Which of the following imaging findings may be present in tuberculous meningitis?

Please, click here to enter your answer and solve the question before 13:30!

Winner will be announced here, on the EBR blog, at 14:30.

Good luck!

EDiR Question of the Day 2019: #2

We dare you to solve one of the hardest questions of the EDiR examination!
The European Board of Radiology raffles amongst the winners an examination place for the EDiR that will take place at the ECR 2020.

Regarding fungal infections. Which of the following statements are correct?

Please, click here to enter your answer and solve the question before 13:30!

Winner will be announced here, on the EBR blog, at 14:30.

Good luck!

EDiR Question of the Day 2019: #1

We dare you to solve one of the hardest questions of the EDiR examination!
The European Board of Radiology raffles amongst the winners an examination place for the EDiR that will take place at the ECR 2020.

Regarding a 65-year-old male with abnormal US findings is referred for CT:

What is the most likely diagnosis?

Please, click here to enter your answer and solve the question before 13:30!

Winner will be announced here, on the EBR blog, at 14:30.

Good luck!

Emergency #7 – Long case

21-year-old male
* High-energy trauma (HET)
* Car vs. car

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What do you see?

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Findings:

* Complex transverse and longitudinal type petrous temporal bone fracture.
* Involvement of inner ear (cochlea, posterior semicircular canal) round window and facial canal.
* Fracture through middle ear ossicular chain (malleolus and incus).
* Soft tissue in middle ear and filled mastoid air cells.
* Some free air bubbles intracranial (pneumocephalus).
* Fracture continuation (not shown here) in temporal, occipital and parietal bone, occipital condyles.

Late complications:
* Sensory and conductive hearing loss
* Facial nerve involvement

Teaching point: Beware of fracture through carotid canal (not shown here), indication to perform additional CTA to look for carotid dissection
Teaching point: Beware of rupture of tegmen tympani, for late complication CSF leakage otorrhoea, with probable CSF hypotension.