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I can't really tell from that description. You'll probably have to talk to the doctor to see. Most of the time, it doesn't make much of a difference because they have overlapping outcomes and appearance.

A single lesion is not enough to make a diagnosis of multiple sclerosis. If you have other features, such as positive findings on a lumbar puncture, that would have to be weighed against the imaging findings to see what they think helps make the diagnosis. You'll have to talk to your doctors about it.

This exists. Sometimes Rathke cleft cysts or cystic adenomas can deflect the optic nerve or optic chiasm

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Glad you enjoyed it!

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I'm sorry for the loss. Thank you for the comment.

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I mean, I get what you're saying, but making these videos isn't exactly easy...

You know, I don't know the answer to this question. Most pulsatile tinnitus gets louder when you plug the external canal because your silencing external sounds which can cover it up. It's possible that plugging the ear is compressing a vessel which is causing the tinnitus though. Just a thought? These cases are complex and it can be very hard to get the answer!

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Most welcome! Congrats on passing your boards and thanks for watching the channel!

You're welcome!

Thank you for this kind comment!

Sorry to hear, I hope you have good luck and find a doctor who can help you with those situations and figure out how to treat it.

Most lipomas do not grow, although they can change size over time slowly if they accumulate fat. Most of the time they are nothing to worry about.

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I know, I'm so far behind I haven't been able to make it! Thanks for tuning in!

Thanks for tuning in! I'm glad you liked it!

I would probably start with an MR angiogram. If you have arterialized flow in the vein, then there could be an abnormal connection or fistula between them. That said, it's common for the internal jugular to have some pulsatility.

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Welcome. All the best!

You're welcome

Thanks! Will work on it!

I can't really personally help with your own findings because of limitations on where I can practice, but I think what you need to do is see a good spine surgeon. I don't think you need surgery necessarily, but they should be able to help you with the MRI findings.

@@LearnNeuroradiology oh I’m so glad you said that! Truly the only thing holding me back from doing exactly that is myself honestly. In 2013 I tore almost every ligament in my left knee and military Dr did surgery… ended up needing 6 more and now waiting for my bone grafts to heal and then doing my 7th in two months. I don’t want my lumbar spine as jacked up as my knee but at this point my radiology findings are almost at equal lengths now. Know of any good doctors in FL that won’t push for surgery first? :)

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Unfortunately I don't really have any experience with MEG processing so it would be hard to show. You probably can reach out to the software vendor though

Most welcome 😊

Hmm, not sure exactly what you are referring to, but there is no residual normal pituitary tissue. The lesion goes all the way from the sphenoid sinus into the hypothalamic region. You can even see a satellite nodule posterior to the main mass (for example 0:44)

​​@@LearnNeuroradiology The pointer between 3:21 and 3:22 It seemed like somehow hypointense to the rest of the lesion, may be I am overseeing it probably 😅. Thank you Dr Weinberg 😇

@@venkatraamudu I see what you are talking about now. Yeah, for whatever reason that part that has grown into the sphenoid sinus enhances a little bit less. I assure you it is NOT normal pituitary though 🤣

@@LearnNeuroradiology Thank you so much Dr Weinberg 😇💜

You have lymphatic tissues lining the throat, including the adenoids and tonsils. You also have lymph nodes AROUND the throat in the soft tissues

@@LearnNeuroradiology Thank you for the information. My ENT said that I have lymphatic hypertrophy on the back left and left side of my throat caused by acid reflux. I was worried it was something else because I've had this inflammation since at least last year.

Mm... OK?

if you have facial fractures, sometimes you need surgery, but many times they can heal on their own if they aren't too displaced. It really depends on the location of the fractures and how displaced they are

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There are 2 main ways to find dissemination in time on imaging: 1) compare to a prior study and see some lesions that are old and some that are new 2) on a single study see some lesions that have signs that they are acute (like enhancement) and some that look old (no enhancement).

@@LearnNeuroradiology thankyou so much..

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It's almost always just a normal variant. Thanks for tuning in

Good suggestion. I'm not sure I have enough quality cases!

Glad it was helpful! Unfortunately I'm only a neuroradiologist but I'd love for other people to build on this concept!

Same! This was amazing, I could keep watching more!