Wednesday, February 29, 2012

Spotter of the Day : 1



H/o trauma to wrist 2 weeks back. Now wrist pain.

Neuroblastoma vs Wilm's Tumor


NB Vs Wilm's Tumor


"Calcification, suprarenal location with a displaced but normal ipsilateral kidney, vessel encasement, retrocrural adenopathy, and extension across the midline are features that allow a confident diagnosis of neuroblastoma. Paraspinal tumor may invade the spinal canal via extension through adjacent neural foramina is s/o NB."

Ring Enhancing Lesion - MRI Brain in AIDS


RING ENHANCING LESION :: BRAIN MRI - AIDS

Few points of differentiation

TB VS NEUROCYSTICERCOSIS

1. TB is usually >20mm, irregular outlined rim enhancing lesion with significant edema and mass effect.

Whereas NCC is <20mm, regular outlined, without mass effect.

2. TOXOPLASMOSIS which becomes an important DD especially in AIDS patients, which occurs mostly in Basal Ganglia region, usually shows microhemorrhages in SWI.

3. Lymphoma because of it's cellularity can be T2 hypointense and may show diffusion restriction, and can show ring enhancement in immunocompromised

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