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Neuroradiology (as Unknown )
(514 items)
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42-year-old female with palpable orbital masses
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15-year-old with headaches and acutely worsening altered mental status
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45-year-old female with clinical hyperthyroidism
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80-year-old male with several months of epiphora (excessive tearing) of the right eye, swelling and symptoms of dacrocystitis. There is also a recent history of right ear tinnitus and an MRI demonstrating a schwannoma of the seventh nerve. The patient was seen by his ophthalmologist, who felt an orbital mass of the right eye and a contrast enhanced CT was performed.
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44-year-old female with no significant past history presented with painful jaw swelling of 3 month duration
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16-year-old male with painless neck mass
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68-year-old female with a history of a "swelling" behind her left eye, which she has had for the past 37 years or so. She describes that every 2-3 years, she has an episode of left eye swelling and proptosis. She says that the last time she had this, the swelling did not completely resolve. The swelling started increasing again several days ago.
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43-year-old male with progressive dysphagia and cervical adenopathy
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57-year-old African American woman initially presenting with gastrointestinal bleeding incidentally found to have a jaw deformity.
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48-year-old woman with an orbital mass. No significant medical history. CT scan of the orbits was performed for evaluation.
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70-year-old male complaining of sinus congestion and increasing eye pressure for one month
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48-year-old female presents to the emergency room after a fall, complaining of a headache. She denies other symptoms or any significant past medical history.
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Multiple falls with head trauma
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62-year-old female with neck pain
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28-year-old female with neck painLabs: TSH = 0.01 microUnits/L, T3 = 316 ng/dL , T4 = 18.6 micrograms/dL
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69-year-old male found to have a superior mediastinal mass
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A 46-year-old man presents with oral swelling, ulceration, and pain 3 years after completion of combined external irradiation and brachytherapy for right-sided tongue cancer.
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2-year-old girl presents with right orbital proptosis and right eye pain
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A two-year-old girl presents with a recurrent neck mass
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20-year-old male presents with a lump in the back of his neck
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A 54-year-old male presented with foreign body sensation in the throat with difficulty in swallowing
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58-year-old asymptomatic Caucasian male with history of supraglottic squamous cell carcinoma, treated with chemotherapy and radiation 2 years ago
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16-year-old female with chronic sinusitis.
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53-year-old male came with complaints of right ear ache and bloody discharge from the ear. Preliminary clinical examination revealed a mass in the external auditory canal.
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49-year-old male with an intranasal mass.
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A 56-year-old woman presents to the emergency room with a two day history of left facial swelling. The lower left face is erythematous, tender to palpation and associated with fevers, difficulty swallowing, and severe pain. Examination of the cranial nerves yields no abnormalities.
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A neonate presents with respiratory distress
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13-year-old female with palpable neck mass
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67-year-old female with vertigo induced by loud noises. Selected images from a temporal bone CT are provided for review.
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60-year-old male presents with a past history of bilateral DVTs and COPD. The patient now presents with new onset of right eye proptosis. The patient complains of orbital pain, fever, orbital discharge, and visual changes.
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6-month-old baby girl with history of seizure
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45-year-old woman with a history of vision problems. The patient consulted an optometrist, who subsequently sent her to see an ophthalmologist for further management. The ophthalmologist initially performed a fundoscopic examination and a B-mode ultrasound. The ophthalmologist sent the patient for MR examination.
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42-year-old male
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Painless mass
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8-year-old male presents with a congenital external right ear deformity. Evaluate for middle ear anatomy.
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74-year-old female with history of conductive hearing loss, left greater than right
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50-year-old male presented with dysphagia and vague throat discomfort and an otherwise unremarkable past medical history.
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57-year-old female presents with hyperthyroidism and possible rapid turnoverLaboratory results are as follows: T3-413, FT4-3.6, TSH <0.01, TSH receptor antibody-27, thyroid stimulating antibody-91.
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40-year-old male
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A 29-year-old male complains of left-sided aural fullness
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27-year-old male with two year history of gradually increasing, painless lump under the chin
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47-year-old man presents with painless left "facial swelling"
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30-year-old woman presenting with painless midline neck nodule and previous history of thyroid surgery for unknown reasons
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A 27-year-old male with history of trauma
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A 29-year-old female presents with acute onset of facial swelling
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Newborn female with a lesion in her mouth
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A 53-year-old woman presents with epiphora, pain, and swelling at the right inner canthus
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59-year-old female presented to the ED with a palpable neck mass and intermittent sensations of choking.
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A 24-year-old female presented 14 days after extraction and packing of a left lower molar with 5 days of fever, difficulty swallowing, and left facial swelling.
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4-month-old female infant with chronic sinusitis
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An 18-year-old female presents with acute onset of diplopia and eye pain.
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56-year-old female with 9 month history of painless swelling of the right jaw, progressively increasing in size.
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A 43-year-old female with two-month history of right ear ache presents with acute onset of diplopia and headache.
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History withheld
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A 63-year-old man presented with a two-month history of variable binocular diplopia with right eyelid retraction. The patient was found to have proptosis, esotropia and limitation of bilateral extraocular movements.
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A 9-year-old male presents to the ED with facial swelling. Rule out abscess.
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A 71-year-old male with long-standing history of nasal congestion, sinusitis, and headache.
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A 15-year-old male presents with history of nasal congestion.
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A 5-year-old white male with history of recent URI presents with 103 fever for the past 3 days and neck pain. There is no history of trauma.
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A neonate presents with a history of serratia meningitis.
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A 58-year old female presented with complaints for shortness of breath.
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A 52-year-old man presents with ulcerating skin lesions of the right face and scalp.
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A 60-year-old man with dysphagia
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Inability to pass a nasogastric tube
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A 43-year-old Hispanic male presents with painless bilateral neck swelling.
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A 59-year-old female presenting with tinnitus
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A 15-year-old female presents with headache. The patient has a remote, questionable history of seizures.
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A 41-year-old man with several days of neck pain. CTA of the neck was ordered to rule out carotid artery dissection.
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A 45-year-old woman with history of hypothyroidism for the last few years
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A 20-year-old female presents with painless progressive proptosis.
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A 25-year-old woman presents with a 5-year history of bilateral tinnitus, with progressive bilateral hearing loss.
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A 17 year-old boy presented with right-sided neck swelling and tenderness following an upper respiratory infection. A CT-scan of the right neck was performed.
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A 28-year-old man involved in a prolonged extrication after a motor vehicle collision
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A 48-year-old woman presents with a slowly enlarging mass in the right upper neck
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A 38-year-old man with drooling and dyspnea.
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The patient is a 63-year-old white man with a painless right neck mass and a history of resection of multiple cutaneous squamous cell carcinomas of the facial region. Postcontrast axial images of the neck are supplied.
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The patient is a 15-year-old boy with a history of chronic swelling around the left eye.
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A healthy 54-year-old woman presents with left-sided neck pain and fullness.
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A 28-year-old man with facial pain and double vision.
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A 62-year-old woman with prior thyroidectomy and I-131 radioablation.
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A 9-month-old male presenting to emergency department with sudden onset of stridor.
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An 11-year-old boy with left neck mass.
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57-year-old male with right sided swelling of the submandibular gland
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A previously healthy 32-year-old man presents with painless, bilateral neck masses
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A 59-year-old male with a history of BPH presented with a 14-day history of a persistent UTI treated with various antibiotics. On the 13th day the patient developed neck pain.
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45-year-old patient walking around the ER complaining of a headache
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43-year-old female presents with left facial pain and swelling.
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34-year-old woman with history of chronic sinusitis, headaches and intermittent clear nasal discharge.
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A 39-year-old female presented with history of intermittent epistaxis
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48-year-old male presented with a non-healing ulcer of the gingival mucosa
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10-year-old girl presenting with hearing loss on the left side.
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6-year-old female presenting with left sensorineural hearing loss.
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56-year-old woman presents with a headache and right cranial nerve VI palsy
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57-year-old female presents with orbital pressure
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48-year-old woman with a history of slowly progressive numbness and weakness of the left side of her face
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13-year-old boy presents with headache for 3 days and progressive increased swelling of the forehead
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6-month-old male with rapidly growing mass arising from upper gingival ridge, which displaces adjacent teeth and elevates upper lip
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A 3-week-old neonate with face and neck masses is examined.
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A 76-year-old man presents with an incidental finding on CT and MRI.
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3-year-old child with leukocoria
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40-year-old man with back pain and lower extremity weakness
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A patient presents with withheld history.
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54-year-old man, addicted to betel nut chewing presented with a plaque-like lesion involving the left buccal mucosa. A staging CT scan was performed.
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A 2-month-old boy presents with a mass in the region of the left mandible.
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A 46-year-old woman complains of visual squiggly lines and severe nearsightedness.
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A 48-year-old woman presents with a history of slowly progressive numbness and weakness of the left side of her face.
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Neck and chest CT scans are performed on a 26-year-old man, presenting history withheld.
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A 61-year-old man presents with a left orbit medial canthal mass and epiphora (excessive tear production).
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A 22-year-old woman presents with fever and difficulty swallowing.
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A 69-year-old man with neck pain over the last several weeks is admitted for congestive heart failure and chronic obstructive airway disease. He has chronic renal failure and receives maintenance hemodialysis.
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A 21-year-old man presents for presurgical functional imaging for refractory epilepsy.
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A 25-year-old woman with neurofibromatosis-1 presents with a history of a slow-growing gluteal mass that has been present since childhood. The mass initially enlarged proportionally with her growth during childhood, but has continued to grow after reaching adulthood. There is no associated pain, but it has caused progressive disability with ambulation. Fluorodeoxyglucose-positron emission tomography/computed tomography (18FDG-PET/CT) was ordered.
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A 27-year-old man presents to the emergency department with acute onset of severe back pain.
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A 21-year-old woman with 1 week of sore throat and painful swelling in the neck presents to the emergency department with shortness of breath. Gram-negative anaerobic rods were isolated from her initial blood cultures.
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A 71-year-old patient presents with hearing loss.
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A patient presents with neck pain and stiffness.
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A patient presents with trauma after surfing.
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A 35-year-old woman with a long history of seizure disorder, for which she has taken multiple antiepileptic drugs, presents with intractable seizures.
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A 4-year-old boy presents with unilateral hearing loss since birth.
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A 34-year-old woman presents with a 4-week history of neck pain accompanied by fever and night sweats. There is no history of foreign travel or exposure to sick individuals.
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A 5-year-old boy presents with 1-day onset of altered mental status and fever up to 103F with vomiting, headache, and behavioral changes.
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An 18-year-old woman presents after a motor vehicle accident with the chief complaint of neck pain and dizziness, as well as left leg and arm numbness.
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A 37-year-old man presents with new onset of fever and altered consciousness.
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A patient presents with withheld history.
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A 49-year-old woman presents with a sudden-onset headache that began 5 days ago and has persisted and worsened since onset. She says the pain is like someone shot her in the head. She also reports numbness on the right side of her face, including the oral cavity.
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A 66-year-old man presents with recurrent, painful scabbing in his nose.
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A 42-year-old woman presents with a maxillary mass.
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A 54-year-old woman with a past medical history of a left cerebrovascular accident presents with a 2-day history of acute onset bilateral lower extremity weakness. Patient denies history of falls but does describe years of neck pain. The patient also notes "electric-shock" sensations down the spine with flexion as well as clumsy hands.
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A patient presents with a large expanding mass of the right oral cavity.
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An 18-year-old woman is imaged prior to routine wisdom tooth extraction. An abnormality is questioned on dental radiographs, and a CT is performed, which shows a finding centered on a mandibular molar near the angle of the lower jaw.
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A 28-year-old man with known transfusion-dependent thalassemia major with repeated blood transfusions presents with puberty failure, hypogonadism, and growth retardation. Hormonal analysis disclosed abnormally low levels of growth hormone, luteinizing hormone, follicle-stimulating hormone, and thyroid-stimulating hormone.
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A 14-year-old girl presents to the ER with 4-day onset headache and left eye proptosis with decreased left ocular abduction and blurred vision in the left eye. The patient has a history of acute lymphoblastic lymphoma and has undergone induction chemotherapy with L-asparaginase.
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A 30-year-old man presents with facial laceration and confusion after a motor vehicle accident.
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A 50-year-old man presents after several months of frontal headache, mucohematic nasal discharge, cough, and loss of weight and without response to antibiotic therapy. Sinonasal and lung CT scans were performed for evaluation.
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A 15-year-old boy presents with a 2-year history of jaw and tooth pain with subacute worsening of pain within the last 6 months. CT imaging of the head was performed without contrast.
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38-year-old male with history of HIV and altered mental status, assess for embolic versus infectious etiology of stroke.
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28-year-old male with dysphagia and dysphonia
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7-year-old girl with precocious puberty
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65-year-old man presents with mental status changes
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51-year-old male presents with thoracic and low back pain
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40-year-old man presented with insidious onset headache
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46-year-old male presented to the emergency room after a first seizure. He has no significant or contributory past medical history.
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5-month-old presents with infantile scoliosis
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78-year-old gentleman with progressive right sided sensorineural hearing loss
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9-month-old male presenting with symptoms of diencephalic syndrome
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41-year-old female with progressive thoracic pain, sensory disturbance and gait impairment
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Worsening neurologic exam in two young children who are being treated for abdominal masses.
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67-year-old diabetic male presents to the ER with diffuse abdominal pain. An abdominal CTA was performed to evaluate for aortic dissection and/or other intra-abdominal pathology.
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68-year-old female with complaints of lower back pain, 1 month after a fall
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38-year-female with abnormality seen on routine 20 week prenatal ultrasound
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One-year-old child presenting with deviation of head and signs of intracranial hypertension
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63-year-old old female, with a history of breast cancer, came complaining of back pain for a few days progressing to paresthesia and paraperesis with bowel / bladder incontinence.
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3-month-old female with maxillofacial abnormalities
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14-year-old child with history of Acute Lymphoblastic Leukemia (ALL), on induction chemotherapy complaining of left sided weakness and facial asymmetry of acute onset
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16-year-old male presents with left cranial nerve VI palsy and left-sided headache
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18-year-old male with 3 months of personality change, gradual decrease in responsiveness, rigidity and abnormal EEG findings
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A previously healthy 40-year-old male presents with acute onset of bilateral third nerve palsy.
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72-year-old woman with progressive dementia. No endocrine, metabolic, or toxic abnormalities were identified.
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49-year-old male with 2 week history of worsening severe headaches, photophobia, hyperacusis, balance and memory deficits
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A newborn boy presents with left parasacral soft tissue mass.
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A 54-year-old woman with a prior history of breast cancer presents with headache and mental status changes.
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60-year-old female with history of a childhood seizure disorder, polydactyly, esophageal narrowing and imperforate anus presents to the ER with acute onset headache.
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11-year-old with recurrent seizures
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A 5-day-old, 32 week premature newborn presented with convulsions. A prior brain US performed on the 1st day of life was normal. You are now presented with ultrasound images performed on 5th day of life.
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A 31-year-old woman presents with worsening headaches and vision changes.
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50 year old female with progressive numbness and decreased temperature sensation in the legs, gait disturbance, and pain. No prior history of spinal surgery or intervention.
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A 26-year-old woman presents with back pain after its sudden onset while playing Frisbee.
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35-year-old male drug user with apathy and motor restlessness
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65-year-old male doorman complains of lower back pain. Patient states the pain lessens when he is sitting down or bends forward at the waist. He now has trouble standing for his job and is considering retiring due to an inability to stand for long periods.
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12-year-old male presents with a history of recurrent headache and vomiting
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10-year-old male with recent viral infection is admitted with lower extremity paralysis and hyporeflexia. CSF findings reveal elevated protein level without pleocytosis.
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22-year-old male presented with a 3 day history of headache, nausea, and vomiting. He denied any head trauma.
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47-year-old female presented with sacral pain radiating up to neck exacerbated by coughing, and sneezing. At the time of presentation there was no history of spinal surgery, CNS infection or CNS trauma. She was treated with epidural injections, chiropractic manipulation and acupuncture with variable relief of symptoms.
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48-year-old male admitted with complaints of mid back pain for several years with associated gait disturbance and weakness of the lower extremities
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14-year-old girl underwent MRI of the total spine for pre-op evaluation of scoliosis
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31-year-old female for routine obstetric ultrasound for size and dates at GA(LMP)19w5d
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6-day-old boy with hypotonia. Delivery history is remarkable for breech presentation.
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74-year-old female with history of headache
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54-year-old female with right sensorineural hearing loss and ataxia
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54-year-old male with chest/back pain. Rule out aortic dissection. Selected pre and post contrast CT images are provided for review.
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50-year-old male with no significant past medical history presents to the Dallas Veteran's Administration Hospital with shortness of breath.
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5-year-old with hearing loss
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84-year-old female presents with a few months history of personality change
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2-year-old with neuromuscular deficits
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31-year-old female with back pain
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29-year-old male. Additional history is withheld.
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38-year-old male presented with acute onset headache
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56-year-old female presented with extremity weakness
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15-year-old African American male with a history of short stature and delayed onset of puberty
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42-year-old woman with longstanding recurrent seizures and learning difficulties.
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42-year-old female with history of headache and personality change undergoes a CT brain scan
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31-year-old woman involved in a high-speed motor vehicle collision
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24-year-old man involved in high speed motor vehicle accident
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7-year-old female with nonproductive cough recently treated for pneumonia
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7-year-old male, limp with left sided weakness.
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A 44-year-old man was thrown off a mechanical bull. He landed on his back and neck and felt a pop and neck pain. He was able to get up and walk to a chair when his wife called 911
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21-year-old woman with tender, bilateral neck masses
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73-year-old female presents with altered mental status.
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57-year-old male who was imaged after a fall and mild back pain
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2-day-old infant noted to have an abnormality on prenatal ultrasound.
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61-year-old male with progressive lower extremity weakness
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Evaluation for pituitary adenoma
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58-year-old male with no significant past medical history complaining of acute neck pain and fever.
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Repeat admission for this 28-year-old obtunded woman
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50-year-old male with chronic back pain, previous back surgery and baclofen pump, presenting with new neurologic symptoms
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52-year-old male presented with multiple nonspecific complaints, including weakness, joint pains and weight loss
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40-year-old male with lumbar radiculopathy and urinary retention
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52-year-old male, unknown past medical history, found unresponsive, later awake but poor response to stimuli with significant decrease of power in both arms, especially proximally
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44-year-old male involved in a motor-vehicle accident, complaining of back pain
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Hyperprolactinemia
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2-month-old infant presents with decreased muscle tone and tachypnea
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76-year-old female patient with a history of progressive dementia, who presented with loss of consciousness, loss of sphincter tone, and right sided facial droop.
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Scoliosis
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32-year-old with neck pain
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An 8-year-old male diagnosed with cerebral palsy with worsening cognitive performance, spasticity, and seizures.
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34-year-old female presents with nonlocalizing lower back pain and a diagnosis of a fracture in one of her lumbar vertebral bodies on an outside CT
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A 16-year-old male presents to his pediatrician for his yearly checkup
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47-year-old woman with weakness of weeks to months duration
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66-year-old male with four weeks of severe low back pain with radiation into the legs.
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Newborn child with a large mass diagnosed on an 18-week antenatal ultrasound.
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Adolescent boy with slowly progressive weakness and extremity stiffness
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Persistent back pain 2 days after laminectomy.
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53-year-old male with gradual onset of expressive aphasia and partial right hemiparesis. History is significant for subtotal surgical resection followed by radiation and chemotherapy for a grade III anaplastic oligoastrocytoma involving the left frontal lobe.
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36-year-old female with back pain
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A 21-year-old woman with no significant medical history presents with progressive decline in cognitive function and hearing
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88-year-old white female with history of myelopathy
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50-year-old woman with chronic left ear pain for many years presents with altered mental status.
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A 55-year-old male presents to the emergency room with fever. A chest x-ray was obtained to rule out pneumonia.
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43-year-old female with Down syndrome presents with hearing loss
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Unilateral sensorineural hearing loss
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A 47-year-old female presents with lower back pain.
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A 67-year-old man with T11 sensory level and acute onset paraplegia
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69-year-old male (Complete clinical history withheld)
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Mental status change
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A 50-year-old asymptomatic patient
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A 24-year-old male patient presents with upper extremity parasthesia.
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Infant with multiple abnormalities diagnosed on prenatal ultrasound
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A 36-year-old woman with history of multiple myeloma.
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A 47-year-old male presents with several months of low back pain and right lower extremity weakness.
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37-year-old male status post trauma
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30-year-old male presenting with seizures, with a history of foreign travel within two years preceding clinical presentation
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A 2-year-old girl presents to the emergency department status post motor vehicle collision. She was restrained appropriately in a car seat and has no obvious injury on initial exam. CTs of the head, cervical spine, chest, abdomen, and pelvis were performed.
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A 4-year-old girl with no provided history
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12-year-old boy, previously healthy, is brought to the emergency room after an episode of seizures
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50-year-old male with chronic rhinorrhea.
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A 67-year-old man presented with a ten-day history of persistent, intermittent, involuntary movement of the right upper and lower distal extremities. His past medical history was positive for hypertension and negative for diabetes mellitus. Laboratory results evidenced current normoglycemia, 114 mg/dL, as well as chronic hyperglycemia, 13.8% HbA1c. Approximately three-and-one-half months after the initial symptoms, the patient experienced complete resolution of the hemichorea. His HbA1c decreased to within normal limits.
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17-year-old male hockey player with no significant past medical history presents with dull non-traumatic back pain.
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History withheld
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32-year-old female with tongue atrophy
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33-year-old female with history of migraines and headache for 1 month duration
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A 9-year-old girl with symptoms of an upper respiratory infection for two days was found by her mother, unresponsive, febrile, and incontinent. She was brought to the Emergency Department, where she began vomiting. She tested positive for Influenza A. A head MRI was ordered.
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Functional MR with a visual stimulus (photograph of a familiar face).
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19-year-old male presents with unilateral blindness
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39-year-old white woman with right-sided tinnitus
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18-year-old female presents with headache and recurrent seizures
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Young to middle aged women in their fourth to fifth decade of life with waxing and waning neurologic symptoms
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5-year-old boy with macrocephaly and developmental delay
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A 19-year-old, 32-week gestation primigravida was referred after an ultrasound showed a cystic brain lesion that needed further characterization
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10-year-old female with headaches
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A 21-year-old female with three months of progressive swelling of the left upper cheek without focal neurological deficits. A limited CT of the maxillofacial region was obtained.
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Two-year-old previously healthy child with persistent open posterior fontanelle
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40-year-old male presents with headaches
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25-year-male who is a visiting student presented with headache, right arm and facial numbness
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The patient is a 74 year-old male brought to the emergency department following a witnessed collapse. This patient has a past medical history significant for hypertension and three prior ischemic events.
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35-year-old male with headache
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46-year-old male with headache
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A 6-year-old boy with headache, disequilibrium, nausea and vomiting.
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2-year-old male with ataxia and seizures
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Patient is a 30-year-old African American man with a genetic anomaly. He presents with the following lateral view of the neck.
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Middle-aged female with headache
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Afebrile female infant presents with bilateral cheek swelling and discoloration
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A 70-year-old woman, a restrained driver who T-boned another car, presents with neck and back pain
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Adult male, history withheld
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A 57-year-old man presented to the emergency department with a history of trauma three weeks prior. Progressive paraplegia over the past month.
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Six-month-old child presents with a two-week history of lethargy and vomiting
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A 44-year-old Caucasian woman presented to the emergency department with a one-week history of headaches and associated nausea. Past medical history of migraine headaches and hypertension.
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Newborn infant with tachypnea
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An 11-year-old child with history of surgery for meningioma. Presents for followup imaging.
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13-month-old male with abnormalities on physical exam
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Pre-operative evaluation of a 32-year-old woman with chronic disease.
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24-year-old male, no additional history submitted
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A 14-year-old athlete with low back pain
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35-year-old female with aphasia after elective surgery, with negative brain CT
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Headache
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A 42-year-old man with mild, chronic neck pain and mild arm weakness
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A young patient with nonspecific back pain
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50-year-old female with a history of small cell lung cancer (SCLC) presents with a history of worsening short term memory over the last 3 months.
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Status post motor vehicle crash
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A 73-year-old man status post motor vehicle accident, with bilateral upper limb parasthesias and weakness.
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A 47-year-old male patient presented with a history of progressive gait disturbance
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44-year-old male with mild developmental delay presenting with gait ataxia and occasional episodes of urinary incontinence.
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Patient with Hodgkin's lymphoma status post radiation therapy, now with new neurological findings.
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40-year-old female with HIV presents with a headache
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A 78-year-old man presents with history of prior back surgery and new abnormalities on neurological exam.
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Status post high-speed MVA, head injury, abnormal reflexes
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36-year-old female with neck pain after a motor vehicle collision 6 months ago
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66-year-old female presented to the Emergency Room
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Patient presents to the ER with new onset of back pain and bilateral lower extremity weakness. He complains of weight loss and fatigue for several months, but is otherwise previously healthy. After neurological exam, MRI of the thoracic spine is performed with and without contrast.
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A 72-year-old diabetic patient with back pain and lower extremity weakness
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A 79-year-old woman presents with severe, nonradiating low back pain that developed suddenly while getting out of bed 1 month ago. Clinically, the patient exhibited exquisite spinous process tenderness to palpation and percussion in the mid-lumbar area.
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70-year-old male was admitted because of changes in his mental status. A chest CT performed during admission demonstrated a left upper lobe mass. Radionuclide bone imaging subsequently was performed to assess for osseous metastatic involvement.
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A 43-year-old man with new onset of neurologic symptoms.
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A 22-year-old woman involved in a major motor vehicle accident
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50-year-old female presented to the emergency department with 7 day history of neck stiffness and unremitting headaches. A CT scan of the head without contrast was initially performed.
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A 53-year-old woman with chronic paraesthesia who fell and now has increased numbness in the neck and back.
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An 18-year-old with Lhermitte's sign, intermittent, increasing in frequency over several months before imaging, occurring with flexion of neck.
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A 55-year-old man complaining of progressive weakness following cervical spine surgery.
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A 17-year-old patient with a history of spastic diplegia, dorsal nerve root rhizotomy in the distant past as a child in an attempt to reduce spasticity, who was sent for CT and MRI spine imaging for chronic low back pain.
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A 47-year-old female was found unconscious in her home. Despite treatment of glucose and electrolyte imbalances resulting from diabetic ketoacidosis, she did not awaken from a coma for 4 weeks.
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1-week-old female
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36-week-old preterm infant born at home and brought to emergency room forrespiratory distress.
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A 23-month-old male with 2 weeks of viral symptoms presenting with progressive weakness and inability to walk.
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58-year-old female presents with sudden onset of proptosis and blurry vision.
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This 47-year-old male was found down at work at 3:00 am. There was no witness to the event. The patient said he awoke confused but quickly returned to normal. On arrival to the emergency department the patient had a CT scan of the brain.
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35-year-old female with no past medical history presents with headache.
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A 55-year-old female presents with left hemifacial spasms.
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16-year-old male with two week history of headaches, vomiting, and diplopia.
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Decreased mental status 48 hours after uneventful right MCA aneurysm clipping
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A 16-month-old female with mental retardation, coarse facies, and recurrent middle ear effusions.
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21-year-old woman status post motor vehicle collision presents with right neck swelling after C6-C7 fusion
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An 18-month-old boy presenting with 2 week history of unsteady gait
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A 28-year-old Caucasian female presents with progressive bilateral upper extremity weakness, numbness, and paresthesias.
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A 27-year-old male who struck the top of his head in a motor vehicle accident.
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A 35-year-old male presents with new onset of altered mental status.
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A 70-year-old male presents with acute onset of right arm weakness. The patient has no history of prior cerebrovascular disease or hypertension.
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A 50-year-old man presents with dehydration and confusion.
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A 59-year-old woman presents to neurology clinic with a two-year history of progressive slurred speech, difficulty walking, and impaired handwriting.
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Infant with hypotonia, seizures, and a large head
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14-year-old female with seizures
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This 62-year-old white female presented to the Emergency Department with complaints of increasing gait difficulties. The patient's husband states the patient had progressive altered mental status with increased moodiness, increasing staggering, abnormal gait and dysarthria. During the past seven months, patient's family has also noted worsening emotional lability and at times abnormal writhing movements of her upper extremities.
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A 65-year-old male in a motor vehicle accident.
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An 8-month-old with abnormally shaped head (intubated for exam)
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A 56-year-old female found unresponsive at home by family.
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A 68-year-old male with a history of ischemic cardiomyopathy experienced the sudden onset of profound weakness of the left side and altered mental status. His chest radiograph as well as Doppler ultrasound images of the carotid artery are shown below. An echocardiogram (not shown) revealed three left ventricular (LV) abnormalities that might be seen with ischemic cardiomypathy and a failing LV.
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A 15-year-old female presented to the Pediatric Emergency Department with painful swelling of the right neck. An ultrasound examination was performed.
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The patient is a 1-day-old neonate delivered preterm at 31 week's gestation by cesarean section presenting with respiratory failure and convulsions.
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A 52-year-old male presents with history of right sided weakness progressing over a period of one month to hemiplegia and aphasia. Serologic testing was negative for HIV, Lyme, and toxoplasmosis. Biopsy of the left periventricular lesion was performed.
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A 35-year-old woman with known neurofibromatosis-I (NF-I) presents with occasional episodes of bilateral orbital pain and blurred vision. Neuro-ophthalmological examination was normal.
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The patient is an 18-year-old white female who complains of right upper extremity weakness and numbness for three hours before admission. She has experienced intermittent episodes with similar symptoms over the last two to three months occurring two to three times per day. She had no associated headaches, nausea, or vomiting. She had no history of seizure or loss of consciousness.
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A 22-year-old woman with persistent bifrontal headache
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A 26-year-old male presents with history of ataxia and urinary incontinence, recently worsening.
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A 30-year-old Hispanic male who presents to an outpatient clinic with complaints of headache.
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49 year old male with 3- day history of left sided weakness and neck pain after minor trauma.
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A 43-year-old female presents with painless growing neck mass.
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A 56-year-old male presents with history of transient ischemic attacks.
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A 59-year-old male patient presents with occasional headaches and nausea with increased deep tendon reflexes and a positive Babinski sign on neurologic exam.
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A 45-year-old male with pulsatile tinnitus
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A 55-year-old woman presents with right-sided body pain and temperature loss.
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A 50-year-old female presents with history of recurrent transient ischemic attacks (TIA) and migraines, evaluated for early-onset dementia.
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A 22-year-old woman with left facial nerve paralysis
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A 31-year-old Hispanic man; history deferred
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A neonate developed seizures shortly after delivery.
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A 29-year-old female presents to the ER with complaints of RUQ pain. She reports that a prior abdominal CT showed a "mass on the stomach."
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A 40-year-old male presents with sudden onset headache.
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Newborn male with failure to thrive
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A 17-year-old male presents with history of intractable seizures.
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A 3-year-old female presents with a two-month history of anorexia and lethargy.
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Patient is a 22-month-old male who presents with a history of four unexplained seizures over the past year and a head circumference that is in the 98th percentile for his age. Complete neurological examination and EEG are normal.
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A 17 year-old man presents to his primary care physician with "bulging" in his medial left thigh, detected on a sports physical. On physical exam, there is a palpable thrill and an audible bruit over the bulge. A faint systolic ejection murmur was heard on cardiac auscultation. An intravenous gadolinium chelate-enhanced abdominal magnetic resonance angiogram (MRA) with bilateral lower extremity run off was performed.
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A 73-year-old man presents with new onset focal motor seizures of his face and facial weakness
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A 4-year-old Caucasian female presents with new onset vision loss.
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A 70-year-old man who had a tonic-clonic seizure presents.
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A 52-year-old woman with history of ataxia and imaging findings stable over a five-year followup.
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A 4-year-old boy with ataxia and dizziness for three months
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A 41-year-old male recently diagnosed with HIV presents with progressive expressive aphasia, dysarthria and forgetfulness over three week period. He also had right-sided weakness and unsteady gait.
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A 43-year-old male with one year history of episodic headaches, emesis, blurred vision, and leg weakness
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Newborn male with poor response to stimulation.
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A 47-year-old woman with a headache
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A 6-year-old girl with recent onset of headaches of increasing severity and diabetes insipidus
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A 61-year-old woman with progressive hearing loss
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A 33-year-old man with seizures and altered mental status
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A 22-year-old woman who has had seizures since childhood is currently taking several medications
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A 44-year-old woman who suffered an episode of speech arrest and altered mental status
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A 51-year-old woman with a headachea
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A 7-year-old boy with history of unusual laughing (gelastic) seizures
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A 39-year-old man with intractable epilepsy for 15 years presents with increasing frequency of seizures
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A 30-year-old man from Latin America presents with acute onset of headaches, confusion, slurred speech, and left facial droop. The patient had a three-month history of blurry vision, headaches, and gait disturbances. A ventriculo-peritoneal shunt was placed eight years earlier for obstructive hydrocephalus
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A 56-year-old man with progressive behavioral changes
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A 45-year-old man with worsening headache for two weeks
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A 66-year-old man is admitted for motor and cognitive deterioration, as well as progressive somnolence. The patient has a pacemaker.
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A 27-year-old man who fell after a seizure
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A 16-year-old girl presents with visual changes and gait disturbances
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A 66-year-old woman underwent cerebral aneurysm coiling yesterday, and now has right groin pain
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A 41-year-old woman with progressive vision loss
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A 13-year-old boy with history of seizure onset at four months of age, gradual loss of milestones, and port wine stain on right side of face
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A 53-year-old woman presents with headache
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A 74-year-old woman presents with headaches, difficulty walking, and incontinence. Additionally, she complains of hearing loss.
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A 6-year-old girl with back pain developing over several weeks
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A 53-year-old woman with history of facial pain
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A 55-year-old woman with sudden collapse and loss of consciousness. No neurologic history. Unresponsive to pain and absent corneal reflexes on arrival to the emergency department.
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Recurrent seizures in a young infant with developmental delay
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Middle-aged man with no relevant medical history presents with headaches and a possible new onset seizure
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A 39-year-old female presents with severe headache and somnolence.
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A 5-year-old boy with short stature
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A 19-year-old woman experiencing seizures three days postpartum
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A 32-year-old woman with a headache
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A 35-year-old woman presents to the ER with a headache.
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A 34-year-old woman presenting after five-minute loss of consciousness, transient right lower extremity weakness, and parasthesia.
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A 21-year-old woman, 10 days post partum, presents with headaches and back pain.
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An 18-year-old man with a 2-month history of headache, worse today. The patient also has a history of progressive loss of visual acuity.
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A 2-month-old child with bulging fontanelle and increased head circumference.
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Newborn with abnormal prenatal ultrasound suggestive of Dandy-Walker malformation, failure to thrive, and poor feeding.
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A 66-year-old man presents with headaches.
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A 25-year-old man presents to the emergency department with a history of recurrent seizures.
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An 81-year-old man experiencing decreased coordination was referred for MR/MRA of the brain.
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The patient is a 22-year-old woman complaining of a headache that is exacerbated while standing and while coughing, but relieved in the recumbent position since the birth of her first child 1 month ago. The delivery was uncomplicated except for difficulty establishing epidural anesthesia.
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A 33-year-old previously healthy male presents unresponsive with left pupillary dilatation. He had complained of a headache earlier in the day.
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A 2-year-old boy presents with an enlarged head circumference during a healthy-child checkup .
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A 34-year-old African-American female presents with headache, fever, dizziness and uveitis. She has had similar episodes in the past and a prior cerebrospinal fluid analysis was consistent with viral meningitis.
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Palpable calvarial defects in a 10-year-old child.
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A 40-year-old female with headache.
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65-year-old female presents with chronic right-sided and low back pain. Rectal exam is notable for tender mass outside the rectal lumen. Inconclusive ultrasound was performed, with subsequent CT scan of abdomen, as seen below.
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A 35-year-old gravida 2 para 2 mother appeared for a routine second trimester fetal ultrasound. Figures 1 and 2 were obtained during the study.
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A 2-month-old male with a palpable left parietal mass.
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Neonate of unknown gestational age (estimated between 31 and 35 weeks) born at 2650 grams. The neonate is now a fussy feeder at 26 days old. A head ultrasound (Figures 1 and 3) was ordered as a routine followup to one performed in the first week of life (Figures 2 and 4).
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32-year-old male with headaches
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A 3-week-old infant born prematurely at 25 weeks. Clinician wants to know if anything is amiss.
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An 8-month-old male with seizures and developmental delay.
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A 5-month-old girl's parents report a soft mass over the vertex of the skull which enlarges when the patient cries.
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48-year-old male with low back pain for 6 weeks
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38-year-old male who presents with 6 month history of progressive right lower extremity weakness.
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32-year-old female complaining of headache
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10-year-old male with history of seizures since birth, developmental delay and lethargy.
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46-year-old male with short term memory loss, confusion, ataxia and diplopia.
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49-year-old female with neck pain
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26-year-old obese woman with history of persistent disabling 8/10 diffuse headache and recent onset of blurred vision.
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A 67-year-old man has a 1-year history of left-sided facial neuralgia. The patient states that the pain is worse when he turns his head.
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30-year-old female with seizures
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A 36-year-old woman presents with nasal congestion, pain at the bridge of the nose, and hyposmia.
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A full-term neonate with a history of Hirschsprung's disease is brought to ED secondary to lethargy and poor feeding. The patient is recently status post partial large bowel resection with primary reanastomosis. Noncontrast CT scan of the head is performed.
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27-year-old male presenting with rapidly progressive dementia, peripheral neuropathy and bladder dysfunction
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A 7-month-old girl presents with seizures and developmental delay.
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76-year-old female, status post right hip arthroplasty secondary to femoral neck fracture 4 years ago, presents with low back pain. Bone scintigraphy is ordered to exclude insufficiency fractures due to frequent falls.
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46-year-old male presents with sudden onset headache which occurred while doing sit-ups and push-ups
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A 33-year-old woman with obesity presents with headache and left arm weakness.
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An 83-year-old man presents with a history of lightheadedness and headache. He has no reported trauma.
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An infant presents with seizures
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40-year-old female presented with sudden onset of right-sided neck pain, right hand weakness, and numbness in the left arm and leg after making a quick rightward turn of the neck while driving.
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40-year-old male fell from ladder
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A 31-year-old man presents with intermittent headache for 1 month.
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A 3-year-old child presented with a history of headaches and convulsions.
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A 28-year-old man presents with left facial numbness, left ear vesicles, and the inability to close his left eye.
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A 34-year-old man presents to the emergency room complaining of a headache.
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A 77-year-old man presents with a history of severe low back pain.
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A 76-year-old man presents with neck pain and radiculopathy involving the left upper extremity.
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A 19-year-old man presents with fever and lower back pain.
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A 78-year-old woman presents with lethargy, lateral rectus palsy, and progressive decline in cognitive function over 3 years.
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A 36-year-old male outpatient presents with no neurologic complaints and has a contrast-enhanced neck CT performed.
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A 32-year-old woman, status post radiation therapy for metastatic medulloblastoma, receives a surveillance MRI that demonstrates a new enhancing lesion in the calvaria. A subsequent CT scan with contrast reveals a new osseous lesion at the same site.
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A 15-year-old boy presents to the ED status post MVA. Patient is clinically asymptomatic.
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A 40-year-old woman presents with an acute inability to abduct her left eye (hindered lateral gaze). An ophthalmologist referred her for an isolated left sixth cranial nerve neuropathy.
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A 54-year-old man is found unresponsive in his home. Neurologic examination reveals quadriplegia and anarthria. The patient has preserved vertical eye movement, but his horizontal gaze is impaired. His pupils are reactive, and he is able to blink when instructed.
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An infant is examined for seizures at 8 hours of age. The infant's history includes: uncomplicated pregnancy carried to term, birth by cesarean section, and Apgar scores 8 and 9. Lab testing reveals blood sugar level of 13 mg/dL (during the first 24 hours of life, blood glucose level <30 mg/dL is generally considered hypoglycemic).
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A 31-year-old man presents with worsening headaches, seizures, and bilateral sensorineural hearing loss. He reports no previous significant head injuries or cranial surgery, although he had a remote history of back surgery to resect an ependymoma.
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A 44-year-old man without significant past medical history, presents with headache for 2 weeks, nausea, and waxing/waning left-sided visual acuity deficits including missing highway exits while driving.
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A 57-year-old African American man presents to the emergency department with confusion and diplopia.
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A 74-year-old man with a history of left nephrectomy for renal cell carcinoma (performed 10 years ago) presents for work-up of new lung nodules.
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A 77-year-old woman was found at home in bed unable to move her left side. A head CT scan was performed.
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A 6-month-old boy presents with failure to thrive and vomiting. The patient has recently developed nystagmus.
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A 6-month-old infant presents to her well-child check-up with a head circumference above the 99th percentile.
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A 45-year-old woman with a long history of seropositive rheumatoid arthritis presents with progressively worsening headaches, photophobia, ataxia, and bilateral lower extremity weakness for 4 months.
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A 21-year-old man presents after a diving accident.
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A 71-year-old man with chronic lymphocytic leukemia, who is "clinically stable" without current treatment, presents with increasing neck pain.
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A 47-year-old woman presents with left third cranial nerve palsy.
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A 3-year-old boy with an 18-month history of loss of developmental milestones, feeding difficulty, and neurodegeneration, presents acutely with an acute episode of seizures, high fever, and severe dystonia. He was born at term without complications and developed normally until 18 months of age.
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A 71-year-old woman with hypertension and diabetes presents with fever and new-onset seizures.
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An 89-year-old woman presents to the emergency department with altered mental status and ataxia.
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A 46-year-old man presents to the emergency department for a noncontrast head CT after a slip and fall accident.
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A young man with a history of ventriculoperitoneal shunt presents with a worsening headache.
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A 37-year-old woman presents with upper extremity weakness.
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A 75-year-old man presents with an enlarging painless left orbital mass for the past year.
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A male newborn presents with respiratory distress.
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A 69-year-old woman presents with complaints that she cannot think of names of people or things and cannot understand things that she reads. She also notes a recent increase in memory loss and feelings of depression. PET/CT was performed to better evaluate for dementia.
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A patient presents with a headache lasting for 1 week after delivery with epidural anesthesia. The headache gets worse when standing up and gets better when lying down.
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A 62-year-old man presents with headache, diplopia, and gait disturbances.
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A 40-year-old man presents with withheld history.
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A 21-year-old woman presents with withheld history.
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A 55-year-old man with a medical history of non-Hodgkin lymphoma status post 5 cycles of CHOP chemotherapy with autologous bone marrow transplant, hepatitis C, hypertension, and chronic renal disease presents to renal clinic with headache for 2 months. In clinic, he was found to be in hypertensive urgency, with a blood pressure of 205/125. Besides an elevated creatinine slightly higher than his baseline, the laboratory values (including a CHEM-7 and complete blood count) were normal. He admitted to noncompliance with his home medications, and his blood pressure was quickly brought under control with intravenous labetalol and reinstitution of his medications. A head CT was ordered to further evaluate his persistent headache.
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A 66-year-old woman with a history of hypertension, diabetes mellitus type II, and hyperlipidemia presents with a transient episode (57 minutes) of right-sided facial droop, word slurring, and drooling.
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A 17-year-old man presents with complaints of a soft scalp mass that he has had for several years. As a young child, he was advised by a neurologist that it was a cyst; therefore, he underwent aspiration. However, the mass persisted. Per the patients mother, pathology results from the aspiration are unknown. The patient denied any associated pain or discharge. There is no prior history of trauma or meningitis.
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A patient presents with withheld history.
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A 65-year-old man with a medical history of low-grade fevers in addition to vague abdominal and joint pain for many years (which subsided after regular administration of colchicine) presents with a 24-hour history of bilateral upper extremity weakness. Physical exam revealed bilateral hand weakness and upper extremity decreased coordination and sensation. There are no motor or sensory deficits in the lower extremities.
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A patient presents with precocious puberty.
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A 55-year-old woman presents with headache and visual disturbances that have occurred over the past few months.
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A 33-year-old woman with chest pain presents to the emergency department.
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A 68-year-old woman presents with severe lower back pain worsened by standing and walking. There is no relevant medical history, and there are no focal neurologic deficits on a physical exam. She reports no prior back surgeries.
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A child presents with nystagmus.
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A 65-year-old woman with a history of thyroid papillary carcinoma presents with complaints of worsening hearing and decreased vision.
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An 84-year-old woman presents with intermittent transient ischemic attack symptoms and dizziness.
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An adult patient presents with right lower extremity numbness and tingling.
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A 6-month-old boy presents with new-onset infantile spasms.
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A 35-year-old woman presents with a subcutaneous scalp hematoma and left shoulder pain after a rollover motor vehicle collision.
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A 45-year-old woman presents with a history of back pain, abdominal pain, and recurrent bouts of diarrhea.
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A 56-year-old man presents after falling from a bicycle. The alcohol in his blood measures 162 mg/dL.
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An 82-year-old woman experiences an increase in falls while on Coumadin.
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A 41-year-old woman presents with a headache.
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A patient presents with an unknown history.
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A 47-year-old woman presents with headache and ophthalmoplegia.
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A 24-year-old woman with a longstanding psychiatric history presents to the emergency room with altered neurologic status.
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A 72-year-old man with esophageal cancer, status postchemoradiation, presents to the endoscopy suite for removal of a temporary stent. The patient developed dense left-sided hemiplegia, which was discovered in the recovery room following the endoscopy.
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A 38-year-old patient being treated with Natalizumab (Tysabri) for refractory multiple sclerosis presents to the ED on multiple occasions with worsening neurological symptoms.
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A 40-year-old man presents with neck pain and progressive numbness over the trunk and upper and lower extremities.
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A patient presents with history withheld.
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A 24-year-old woman presents with a history of complex partial seizures localized to the right temporal lobe by electroencephalography.
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A 75-year-old woman presents with a palpable left parotid mass. No additional history was provided at initial presentation.
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An 11-year-old boy presents with history withheld.
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A 25-year-old man presents with tinnitus and vertigo.
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An adult patient presents with bitemporal hemianopsia.
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A 45-year-old man presents with headache, dizziness, nausea, and vomiting.
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An 18-year-old patient presents with increasing spells of loss of consciousness.
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A 19-year-old woman presents with amblyopia ("lazy eye"), right-sided headaches, and swelling of the right eyelid for several weeks.
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A patient presents with history withheld.
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A 35-year-old man with no significant past medical history presents with acute-onset flaccid paralysis of the left upper extremity, which was preceded by an episode of subjective fever and vomiting one day prior to admission. Physical exam reveals the following: 2/5 strength in the proximal left upper extremity and 3/5 strength in the distal left upper extremity; flaccid muscle tone; areflexic left upper extremity; and normal sensation in all extremities.
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A 42-year-old woman presents with several weeks of severe neck pain and odynophagia. She is afebrile and has no palpable abnormality by physical examination of the neck.
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