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Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
Differential diagnosis ... - Patterns on Brain ... imaging #patterns #MRI ... #Neurology #pathology ... #diseases #radiology
CT vs T1 MRI
CT Head:
 - Bones are white
 - Fat is Dark & Scalp fat
CT vs T1 MRI CT ... not apparent T1 MRI ... Brain: - Bones ... #neurology #radiology ... #brain
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
MRI Brain Sequence ... T1 #T2 #FLAIR #MRI ... #Brain #Comparison ... #clinical #radiology ... #diagnosis #neurology
Progression of Imaging Findings in Acute Stroke - Timeline
Onset → Hours → Days → Weeks →
Weeks → Months • Pathology ... • Non-Enhanced CT ... Stroke #Timeline #diagnosis ... #Progression #radiology ... #neurology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Sign on Chest CT ... • Distinct pulmonary ... #Vessel #Sign #CT ... #diagnosis #radiology ... #clinical
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Sign on Chest CT ... #Halo #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Disseminated Cysticercosis - Magnetic resonance imaging (MRI) of the head revealed diffuse hyperintense septated cystic lesions
resonance imaging (MRI ... Coronal MRI of the ... confirmed the diagnosis ... #Clinical #Radiology ... #Pathology #MRI
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... to rule out pulmonary ... The diagnosis based ... on this CT was ... #Clinical #Radiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Clinical • ... IVIG (Giant cell, eosinophilic ... #Management #Cardiology
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
and Metabolic Brain ... Pons: ODS #MRI ... #Disorders #Clinical ... #Differential #Diagnosis ... #Radiology #Neurology