Providing a proper clinical history for radiological studies is becoming a lost skill, despite its importance.
In a world where everything is rushed, there are still physicians like @AFutaisi who provide the optimal indication for an MRI study. Such physicians must be cherished!
A masterclass in how to write relevant history for brain MRI:
Clinical Indication: 12-year-old obese boy with H/O headache, vomiting for two weeks, and exam finding of left VI nerve palsy, suspected idiopathic intracranial HTN
Reasons for Order Remarks
To see central signs related to IIH (ON involvement) or exclude venous sinus thrombosis, MRI brain with MRV (IIH Protocol).
--Today's case
@TheSaadKaiser Cars in Pakistan don’t have safety features. It’s time that car with safety features only should be allowed on roads and cars without safety features should be banned
Claw sign on DWI (4th image): distinctly defined, paired band-like regions of restricted diffusion that affect two adjacent vertebral bodies and resemble a claw.
Claw: suggest degenerative changes (Modic type 1) rather than spondylodiskitis.
DWI helps as a problem-solving tool for the spine.
@amanullahbeg@TheASNR@The_ASSR
That’s the thing about unhappiness. All it takes is for something worse to come along and you realize it was actually happiness after all.
—Queen Elizabeth II, The crown series (Netflix)