1

A
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Dilatedbodiesoflateralventricle
B
PlainCTscanofhead
Ventricularlevel(hornsoflateralventricle*3rdventricle)
Dilatedhornsoflateralventricle
C
PlainCTscanofhead
Ventricularlevel(hornsoflateralventricle&3rdventricle)
Dilatedhornsand3rdventricle
D
PlainCTscanofhead
Posteriorfossalevel(4thventricle)
Dilated4thventricle
Congenitalcommunicatinghydrocephalus(dilatationofallventricularsystems).Lesion
belowthelevelof4thventricle(inthesubarachnoidspace)

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A
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Dilatedbodiesoflateralventricle
B
PlainCTscanofhead
Ventricularlevel(hornsoflateralventricles&3rdventricle)
Dilatedhornsoflateralventricle
C
PlainCTscanofhead
Ventricularlevel(hornsoflateralventricle&3rdventricle)
Dilated3rdventricle
D
PlainCTscanofhead
Posteriorfossa&4thventricle
Normal(notdilated)4thventricle
Congenitalobstructivehydrocephalus(abovethelevelof4thventricle)mostlydueto
congenitalstenosisofaqueductofsylvius

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A
PlainCTscanofheadSupraventricularlevel
Increasedprominenceof:
cerebralsulci,interhimesphericfissureand,subarachinoidspace
(reducedcerebral
mass prominentCSFspaces)
Brainatrophy
B
PlainCTscanofheadVentricularlevel(bodiesoflateral
ventricle)
Increasedprominenceof:cerebralsulci,interhimesphericfissure,
ventricularsystem
(passivedilatationduetoreducedcerebralmass)
Brainatrophy

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A
PlainCTscanofhead
Ventricularlevel:hornsoflateralventricleand3rdventricle
Diffusecerebrahypodensitywithlossofgreywhiteinterfacelossofall
supraventricularspaces(sulci,CSFspaces)
Brainedema(lossCSFspaces)
B
PlainCTscanofhead
Infratentoriallevel(posteriorfossa)
Diffusecerebrahypodensitywithlossofgreywhiteinterphaselossof
allinfratentorialspaces
Brainedema(lossCSFspaces)

5
A
PlainCTscanofhead
Supraventricularlevel
Hyperdenselesion(diffuse,small,dots),scatteredalloverthecorticaltissuebilateraly)
Punctuatecalcification(congenitaltoxoplasmosis)
B
PlainCTscanofhead
Ventricularlevel(lateralventricularhorns&3rdventricle)
Hyperdense(bilateral,nodular),protrudingtothehornsoflateralventricle
Periventricularcalcifications(cytomegalicinclusiondisease)
C
PainCTscanofhead
Coronalsection
Hyperdensearea,insuprasellarregion
Suprasellarcalcification(calcifiedcraniopharyngioma)
D
PlainCTscanofhead
Ventricularlevel(lateralventricularhorns&3rdventricle)
Hyperdenselesion(bilateral,symmetric),atthebasalgangliaregion
BasalGangliacalcification(hypoparathyroidism)

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A
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Hyperdenselesionintheleftfrontopraietalareawithmasseffectscompressionofleftlateral
ventricle
Intracerebralhematoma
B
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Hyperdenseareaaffectingbothlateralventricleswithventriculardilatation
Intraventricularhemorrhage(+acquiredobstructivehydrocephalus)
C
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Hyperdenseconcavoconvexlesion,affectingleftfrontoparietalregionwithmasseffect
(compressionoftheleftlateralventricle)
- associated intracerebral hematoma (arrow)
Subduralhematoma
D
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Hyperdensebiconvexlesionaffectingtherightfrontoparietalregion(arrow)withmass
effect compressionofrightventricle
- With left parietal fracture (arrow) + extracranial hematoma
Epiduralhematoma

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A
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
2hypodenselocalizedareasintherightoccipitalregionandleftparietalregion
Normallateralventricles
Localizedinfarctionintherightoccipitalregionandleftparietalregion
B
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Hypodenseextensivelesioninleftparietooccipitalregion
Extensiveinfarctionintheleftparietalregion
C
PlainCTscanofthehead
Ventricularlevel(bodiesoflateralventricle)
Mixedlesioninlefttempoparietalregionhyperdensearea(hemorrhage)
hypodensearea(infarction)
Hemorrhagicinfarction
D
ThesamepatientbutatalowerlevelVentricularlevel(lateralventricularhorns&3rd
ventricle)
Hyperdensearea(hemorrhage)inlefttempoparetalregiontogetherwith
hypodensearea(infarction)+masseffect(compressionoftheleftlateralventricle)
Hemorrhagicinfarction

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A
PlainCTscanofhead
Ventricularlevel(bodiesoflateralventricle)
Bighypodenseareainrightparietalregioncompressingtherightlateralventricle
B
ContrastenhancedCTforthesamepatient
Ventricularlevel(bodiesoflateralventricle)
Bighypodenseareawithring enhancement of abscess capsuleintherightparietal
regioncompressingtherightlateralventricle.Theabscessissurroundedbyhypodense
area(brainedema)
Bigsinglebrainabscessintherightparietalarea
C
ContrastenhancedCT
Ventricularlevel(bodiesoflateralventricle)
Smallhypodenseareawithringenhancement of abscess capsule intheleftfrontoparietal
region
Smallbrainabscess
D
ContrastenhancedCT
Supraventricularlevel
2smallhypodenseareaswithringenhancementofabscesscapsuleinleftparietooccipital
region
Multiplebrainabscesses

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A
ContrastenhancedCT
Infraventricularlevel(posteriorfossa&4thventricle)
Hypodense(large&cystic)lesion,intheleftcerebellarlobewithringenhancementof
tumor
Cerebellarastrocytoma
B
ContrastenhancedCT
Infraventricularlevel(posteriorfossa&4thventricle)
Midline,roundedlesionwithtotalenhancement,intheposteriorfossawithventricular
dilatation(obstructivehydrocephalus)
Medulloblastoma
C
ContrastenhancedCT
Ventricularlevel(lateralventricularhorns&3rdventricle)
Rounded,midlinelesionwithtotalenhancement,inpinealbodyregion
Pinealoma
D
ContrastenhancedCT
Ventricularlevel(lateralventricularhorns&3rdventricle)
Largelesionwithtotalenhancement,intheleftoccipitalhornwithdialedlateralventricle
Choroidplexuspapilloma+communicatinghydrocephalus

10
A
ContrastenhancedCTscanheaddifferentpatient
Ventricularlevel(bodiesoflateralventricles
Hyperdenseareaaffectingbothlateralventricleswithventriculardilatation
Acquiredobstructivehydrocephalusduetointraventricularhemorrhage
B
Ventricularlevel(bodiesoflateralventricle)
Dilatedlateralventricleduetoventriculitis(enhancementofepindymalliningofventricle)
Acquiredobstructivehydrocephalusduetoventriculitis
C
ContrastenhancedCT
Infraventricularlevel(posteriorfossa&4thventricle)
Midline,roundedlesionwithtotalenhancement,intheposteriorfossacompressingthe
4thventricle.
D
Thesamepatientbutathigherlevel(3rdventricleandhornsoflateralventricles)showing
ventriculardilatation
AcquiredobstructivehydrocephalusduetoMedulloblastoma

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A
Linearskullfractureintherightfrontalbone(arrow)withleftsubdural
effusion
B
Depressedskullfractureintherightparietalbonewithbonefragmentation
C
Extensivebilateralcephalhematoma(extracranialareasofheterogeneous
opacity)
D
Traumaticheadinjurywithmultiplelesions
Cephalhematoma
Skullfracture(arrow)
Cerebralhematomaintheleftfrontoparietalregionandbrainedema
(generalizedhypodensitywithlossofgraywhiteinterface)

12
1.itisplainCT
2.The3rdventricleisdilated
3.Hornsofthelateralventriclearedilated
4.Itiscommunicatinghydrocephalus
5.Itiscongenital

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1.Itisobstructivehydrocephalus,3rddilatedwhilethe4this
normal
2.Theobstructionisatthelevelofaqueductofsylvius
3.Itmaybeduetocongenitalinfection

14

1.Itisventricularlevel
2.Brainatrophyisthemostprobablediagnosis:
3.Thecausemaybecerebralpalsy
4.Thereiswidenedsulciandspaces

15
1.Itmaybeduetoacutehypoxia
2.Itmayfollowheadtrauma
3.Itmayduetohypertensiveencephalopathy
4.Thepatientmaypresentwithincreased
tension
5.ThereisprominentCSFspaces

16
1.itisplainfilm
2.Thereisamidlineshift
3.Bothlateralventriclesarecompressed.
4.Themainlesionislocalizedleftfront
parietalarea
5.Itissubduralhemorrhage

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1.itisplainfilm
2.obstructivehydrocephalus
3.Itmaybeduebleedingtendency
4.Patientpresentwithheadacheandvomiting
5.Itisintraventricularhemorrhage

18
1.ItispostcontrastCT
2.thereisshiftofmidlinestructures
3.itisparietallesion
4.Abigabscessisseenintherightparietal
lobe
5.Itmaybeduetofallottetralogy
6.Thereisbrainedemaaroundtheabscess

19
1.ItispostcontrastCT
2.itiscerebellartumor
3.Patientmayhaveataxiaandabnormalgait
4.itisposteriorfossalevel
5.itiscystic(ringenhancement)

20
1.ItispostcontrastCT
2.Itispost.fossatumor
3.Itisposteriorfossalevel
4.Itissolidtumor
5.Obstructivehydrocephalusispresent,hornsof
lateralventriclearedilated

21
1.ItispostcontrastCT
2.Itischoroidplexustumor
3.Itisventricularlevel
4.Itissolidtumor
5.Lateralventriclesaredilated
(increasedCSFproduction)

22
ThisispostcontrastCT.
1.Dilatationof4thventricleisseen
2.Hyperdenselesionisseeninleftlateral
ventricle.
3.Dilatationoflateralventriclesispresent.
4.PatientmaysufferfromMacrocephalyBecause
hehashydrocephalussecondarytochoroidplexus
papilloma

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1.Hypodenselesionwithringenhancement
mostlybrainabscess
2.Patientmayhavefeverandrigors.
3.compressionofthelateralventriclesisseen
4.shiftofthemidlinestructuresisseen