
Shingo Omata
@Shingo_Omata
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Diagnostic Radiologist in Gifu 🇯🇵 Sharing insights in Radiology #Rdiag Posting Morning Daily Quiz & Evening Explanation
Gifu
Joined November 2024
<Ping-Pong Skull Fracture> #Rdiag. 🧩 Imaging Clues.- Smooth, focal depression of the calvarium.- No fracture line or bony discontinuity.- Most often seen in neonates or infants due to pliable skull. 💎 Pearl. - A ping-pong skull fracture is a type of greenstick fracture seen in.
<What’s your diagnosis?>. 👤 2-year-old Female.📋 Head trauma . #Rdiag #RadEd #MedEd #PedsRad #NeuroRad #FOAMrad
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<Serous Atrophy of Bone Marrow (SABM): Flip-Flop Effect> #Rdiag. 🧩 Imaging Clues.- T1WI: diffuse low signal in bone marrow.- STIR: corresponding high signal (→ “flip-flop” effect).- Non-traumatic areas also show signal change. 💎 Pearl.- SABM reflects marrow fat loss &.
<What else do you notice?>. 👤 70s Female .📋 Trauma after fall. Right iliac fracture is evident. But… is that all? . #Rdiag #MedEd #RadEd #MSKrad #FOAMrad #FOAMed
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<Sjögren’s Disease> #Rdiag. 💡Name update: .“Sjögren’s Syndrome” → “Sjögren’s Disease”.(Ramos-Casals M, Nat Rev Rheumatol, 2025). 🧩Imaging Clues.- Bilateral parotid gland enlargement.- Multiple small round cystic areas in T2WI (→ punctate sialectasis).- No significant.
<What’s your diagnosis?>. 👤 50s Female .📋 Chronic dry eyes and dry mouth. MRI performed for recurrent parotid swelling. #Rdiag #MedEd #RadEd #FOAMrad #FOAMed
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<Terson Syndrome> #Rdiag. 🧩 Imaging Clues.- Subarachnoid hemorrhage (SAH) on non-contrast CT.- Hyperdensity in one or both globes → intravitreal or subhyaloid hemorrhage.- No evidence of orbital trauma. 💎 Pearl.- Terson synd. refers to intraocular hemorrhage occurring in the.
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<Arrested Pneumatisation of the Skull Base> #Rdiag. 🧩 Imaging Clues.- Well-defined, non-expansile lesion at the skull base.- Internal fat density ± curvilinear calcifications.- No bone erosion or remodeling.- Typically located in the sphenoid or petrous apex.- Asymptomatic,.
<What’s your diagnosis?>. 👤 65-year-old Female .📋 CT & MRI performed for nonspecific headache. #Rdiag #RadEd #MedEd #NeuroRad #FOAMrad #FOAMed
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<Wernicke’s Encephalopathy (WE)> #Rdiag. 🧩 Imaging Clues.- Bilateral cortical ribboning in the frontal lobes (DWI ↑, ADC ↓, FLAIR ↑).- No contrast enhancement.- Subtle signal changes in medial thalami. 💎 Pearl.- Typical MRI findings include symmetrical thalamic &.
<What’s your diagnosis?> . 👤 70s Male .📋 Subacute altered mental status in a patient with progressive dysphagia and MSA. #Rdiag #MedEd #RadEd #NeuroRad #FOAMrad #FOAMed
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<JC Virus Granule Cell Neuronopathy (JCV-GCN)> #Rdiag . 🧩 Imaging Clues.- Cerebellar atrophy, particularly of the hemispheres.- T2/FLAIR ↑ in cerebellar white matter.- No contrast enhancement or mass effect.- Diffusion restriction may be absent or subtle. 💎 Pearl.- JCV-GCN is.
<What’s your diagnosis?>. 👤 60s Male (HIV-positive) .📋 Progressive gait instability and dizziness for 2 months. #Rdiag #MedEd #RadEd #NeuroRad #IDRad #FOAMrad #FOAMed
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<Neurotoxoplasmosis> #Rdiag. 🧩 Imaging Clue.- Multiple ring-enhancing lesions.- “Eccentric target sign”: peripheral ring with an eccentric nodule.- Significant surrounding edema. 💎 Pearl.- Neurotoxoplasmosis is the most common CNS opportunistic infection in AIDS patients with.
<What’s your diagnosis?>. 👤 45-year-old Male .📋 Headache, expressive dysphasia, altered mental status. Fevers, chills, rigors. Recent travel from Uganda. #Rdiag #MedEd #RadEd #NeuroRad #FOAMrad #FOAMed
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<Dysembryoplastic neuroepithelial tumour (DNET)> #Rdiag. 🧩 Imaging Clues.- Cortically-based, bubbly/multiloculated T2↑ lesion.- No surrounding edema or mass effect.- No diffusion restriction or enhancement.- “Bright rim sign”: thin rim of FLAIR↑ at the periphery. 💎 Pearl.DNET.
<What’s your diagnosis?>. 👤 16-year-old Female.📋 Seizures. #Rdiag #MedEd #RadEd #NeuroRad #FOAMrad #FOAMed
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