Medical OSCES

Medical OSCES for medical students and PG Doctors

Radiology Synovial Cyst of the Lumbar Spine

Synovial Cyst of the Lumbar Spine

Findings:
- Low T1, high T2 extradural lesion contiguous with the facet joint
- Surrounding enhancement
- Mass effect
Associated with degenerated joints – 75% at L4-5
Typically posterolateral
Contents variable – clear fluid, calcium, hemorrhage
ddx:
- Migrated herniated disc
- Perineural cyst (close to nerve root)
- Schwannoma (low sig capsule)
- Hematoma

A 23-year-old man after motor vehicle accident

This 23-year-old man was involved in a motor vehicle accident. What is the diagnosis? Aortic dissection Cardiac rupture Diaphragmatic rup...
Name the arrowed structure ?

Left Ventricle
After a short period of fever and malaise,patient develops pain in a dermatome,followed by appearance of lesion in the same dermatome,

1.What’s the lesion? 2.What’s the causative agent ? 3.What are the complications of this condition? 4.How would you treat?
Diffuse Axonal Injury

Findings: Diffuse brain swelling Focal punctate hemorrhage scattered in the white matter, corpus callosum, and brain stem Right subgaleal...

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