Cauda equina mass: An Approach
-    CLINICAL PRESENTATION&FINDINGS    57 yr male with h/o low back pain with no h/o trauma presents for MRI lumbar spine which shows – Large relatively well defined , regular, intradural, subtly& heterogeneously enhancing SOL, seen from lower L3 border to middle of body of L5 with compression of cauda equina fibers, displaying mostly soft tissue signals on all sequences / normal meningeal  enhancement, with no significant hemorrhage / fat / cystic / necrosis/ MR demonstrable calcification  components / sugarcoating / scalloping or enlargement of the posterior neural e...
Source: Sumer's Radiology Site - January 12, 2019 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Endolymphatic Sac Tumor in an Elderly Man
Papillary architecture is typical for this entityThe patient is not known to have Von Hippel Lindau Syndrome, which can be associated with this tumor. According toExpert Path, the differential diagnosis for endolymphatic sac tumor is middle ear adenoma, middle ear adenocarcinoma, metastatic renal cell carcinoma, metastatic papillary thyroid carcinoma, paraganglioma, choroid plexus papilloma, and ceruminous adenoma. (Source: neuropathology blog)
Source: neuropathology blog - January 19, 2018 Category: Radiology Tags: neoplasms Source Type: blogs

Incidentally detected Carotid Body Tumour : Case Report
Female, 60 years old, with headache and recurrent left tinnitus. Has been to several ENT clinics. Stayed unexplained for 5 Yrs.  MRI brain incidentally detected the finding described below.Case submitted by Dr. A. Altamimi, MD, DMRD, FRCR, Consultant RadiologistMRI Brain revealed : special note is the presence of an incidentaloma in the form of a lobulated oval mass (about 2.5 x 3 x 4.5 cm) embedded in the left upper neck at the level of the carotid bifurcation (splaying the ICA and ECA carotid arteries) with some localized mass effect. It is generally iso-to-hypointense to muscle on T1, ...
Source: Sumer's Radiology Site - November 19, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs

Parapharyngeal space schwanomma :MRI
The parapharyngeal space is often described to be a deep potential neck space shaped as an inverted pyramid. The base of the pyramid is at the skull base, and the apex is at the greater cornu of the hyoid bone. Clinically, the parapharyngeal space should be considered in two compartments: pre-styloid compartment and poststyloid compartment. This patient showed well-defined, iso- to hyper-intense mass with heterogenous areas of enhancement in the left parapharyngeal space in the poststyloid compartment, displacing the major vessels and compressing the oropharyngeal airway.Of all the parapharyngeal space tumor...
Source: Sumer's Radiology Site - March 6, 2017 Category: Radiology Authors: Sumer Sethi Source Type: blogs