Archive for the ‘Aunt Mickeys’ Category

51 year old lady presented with headache and gait disturbances. An MRI including perfusion imaging was obtained. MRI revealed an extra-axial, dural based mass of the posterior fossa which was isointense to gray matter on [...]

A middle age woman presented with left progressive proptosis.  A contrast enhanced CT was done and showed enlargement of the left superior ophthalmic vein on the axial plane (see below).  A coronal image confirmed this [...]

A young man presented with ataxia.  Brain contrast enhanced MRI was done including DWI and perfusion.  T2WI showed a mixed intensity lesion in the inferior right cerebellar hemisphere which contained some “dark stripes”.  DWI ADC [...]

A young African American woman presented with progressive left vision loss.  Brain MRI with contrast and perfusion studies were obtained.  The studies showed a dural-based lesion involving the lateral aspect of the left cavernous sinus [...]

This young male presented with chronic but progressive low back pain and lower extremity weakness.  MR imaging of the lumbar spine with contrast showed a lesion, intradural/extramedullary, extending from T12 to L4.  The lesion “expanded” [...]

A young female presented to an outside hospital with headache of one day duration. An MR brain study was done and interpreted as showing acute subarachnoid hemorrhage in the right temporal/occipital region.  The patient was [...]

This 30 year old hypertensive female smoker presented with acute onset of right hemiparesis. Her history also included OCP use and dyslipidemia. MRI demonstrated an acute infarct in the posterior limb of the left internal [...]

Aunt Mickeys are alternative diagnoses for “Aunt Minnies”. They represent less common diagnoses, and emphasize the importance of clinical history and careful imaging review.
Dumbell spinal mass: Nerve sheath tumor or something completely different?
A  “dumbell” spinal [...]

Aunt Mickeys are alternative diagnoses for “Aunt Minnies”. They represent less common diagnoses, and emphasize the importance of clinical history.
This submission is a 23 year old male patient who became lethargic and somnolent after playing [...]