October 12th, 2008
A man has a CT scan of his abdomen booked after an attendance at one of his normal Hospital follow up clinic. Although the report largely gives him the ‘all clear’, what may the radiologist be commenting when he looks at the image below (if the request form was filled in with sparse clinical information!)
Axial CT abdomen, and courtesy of John S To, MD, with thanks, used under a Creative Commons licence
- What is the abnormality shown on the CT ?
- What is the likely underlying diagnosis?
October 12th, 2008
Clinical Case:
A 62 year old man presents to hospital with sudden onset neurological symptoms affecting one side of his body. He is taken for an emergency Computed Tomography scan of his brain which is shown below.
He has a history of type II diabetes and atrial fibrillation for which he takes warfarin, metformin and ramipril.
He works as a bus driver.
CT Brain (image used and modified by medical educator under a GNU licence courtesy and thanks to Lucien Monfils)
I have a number of questions for discussion:
»Where are the motor/sensory symptoms likely to be
»What’s most likely to have caused them
»Assuming he’s right handed what other symptoms/ difficulties of higher cerebral function may he be suffering from (calculation/ spatial awareness etc).
Answers published after students have a chance to contribute to the blog
