65-year-old woman with cholecystitis:
* Edema in gall bladder wall, enhancement, cholecystolithiasis (red arrow) > cholecystitis
* But also choledocholithiasis (blue arrow)!
* Indication for endoscopic retrograde cholangiopancreaticography (ERCP) with papillotomy and stone removal.
Regarding the following images:
What do you see?
Metronidazole induced toxicity
Bilateral symmetric high T2 & FLAIR signal involving the dentate nuclei of the cerebellum. The appearance favors metabolic conditions particularly toxic leukoencephalopathy.
40-year-old male:
* Since 1 day periumbilical pain radiating to RLQ.
* CRP 75, leucocytes 18.000.
What do you see? Appendicitis? Diverticulitis?
Retro-coecal appendicitis
30-year-old man:
With a slow-growing, mobile, soft tissue midline infrahyoid mass
What do you see?
INFRAHYOID DERMOID CYST with virtually pathognomonic “SACK-OF-MARBLES” appearance
31-year-old male:
* With flank pain
* Increased inflammatory parameters
* Decreased kidney function
Why is the right kidney less dense than the left?
Obstructive kidney stone in the right proximal ureter (arrow) with secondary hydronephrosis
The increased pressure in the collecting system slows the ultrafiltration of urine and causes a slower enhancement of the right kidney in comparison with the left kidney, reflecting the impaired kidney function
We are showing a T1W fat suppressed gadolinium enhanced image.
What do you see?
Submaseteric fluid collection, irregular rim enhancement (Abcess)
The masticator space is the primary sit of spread from mandibular infection.
