Cement Embolization Not Going Well

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Acute/Subacute Stroke with Complementary Perfusion Images

NONCON HEAD WITH STROKE WINDOWS

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Perfusion

 

 

CBV

CBF

MTT

Delay

CTA is Unfulfilling

 

 

 

 

OPLL

Spinal Fixation Rod Poking the Cerebellum

Jumped and Locked Facet with Right Vertebral Artery Occlusion

Butterfly Vertebrae

Not much to say, just good examples of incidental butterfly vertebrae.

 

Craniofacial fibrous dysplasia/Intraosseous Meningioma/Lymphoma/Mets

This is an almost certainly case, probably representing craniofacial fibrous dysplasia with enlargement of the sphenoid on the right. This involves the greater wing of the sphenoid and produces mass effect on the adjacent orbit.

Although easily missed, there is also a mass centered in the left clinoid which was better seen on a subsequent study making meningioma or mets more likely.

The other differential considerations are Paget’s disease which tends to spare the facial Bones, intraosseous meningioma, sclerotic metastatic disease, or cemento-ossifying fibroma,Whatever that is.