医学影像英语学习群
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今晚由刘先平医生主持的胸部病例
病例来源于ACR
刘先平
刘先平20:10
itistimetodiscussthecases,anyoneishere?
刘先平
History
A66-year-oldwomanwithahistoryofhyperthyroidism(甲状腺机能亢进)presentswith1monthofheadachesand2weeksofophthalmoplegia(眼肌麻痹)andptosis(上睑下垂)ontheleft.
刘先平
Question1:
ReviewtheMRimagesofthebrain.Whichofthefollowingshouldbeincludedinthedifferentialdiagnosis?(multiplechoice)
A.Infiltratingpituitaryadenoma
B.Nasopharyngealcarcinoma(鼻咽癌)
C.Lymphoma
D.Sarcoidosis(结节病)
E.Aneurysm(动脉瘤)
1琳20:28ADE
2杨敏洁20:28abcd
3lee20:29ACD
4方舟20:30ACD
5刘先平20:30
医学影像义工杨敏洁，深医放射科?whyselectb？
6雨涟20:30ACD
7刘先平20:32
welldone，therightanswerACD
刘先平
A．Pituitarymacroadenomascanextendlaterallythroughthethinmedialduralwallandpresentasbilateralcavernoussinusmasses.
B.Theenhancementislocatedwithinthecavernoussinuseswithoutinvasionoftheadjacentbone,whichwouldexcludenasopharyngealcarcinoma.
C.Lymphomacanpresentasavidlyenhancingintracranialmassesandpresentinthecavernoussinus.
D.Granulomatousdiseases,suchassarcoid,canbeassociatedwiththepituitaryorcranialnervesorpresentasdural-basedmasses,whichwouldbeinthedifferential.
E.Bilateralcavernoussinusinternalcarotidartery(ICA)aneurysmswouldbeinthedifferential;however,theywouldbeexcludedwiththenormalMRAofthehead.
thesearetheexplainationoftheQ1.
医学影像义工杨敏洁，深医放射科20:35
justforcaution
刘先平20:36
theimagesmaybenotclearly
ok,goon
刘先平
Question2.1:
Whichofthefollowingsymptomsareassociatedwithacavernoussinusmass?(multiplechoice)
A.Ophthalmoplegia（眼肌麻痹）
B.Fixeddilatedpupil
C.Sensoryloss（感觉减退）inV3distribution
1lee20:39AB
2方舟20:40ABC
3琳20:40all
4刘先平20:41Annoucedtheanswer:AB
刘先平
A.Symptomsofacavernoussinuslesionwouldincludeophthalmoplegiafrom
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