Saturday, 5 September 2015

Mcq radiology ---Frcr --- NEURO MODULE

24.All are true regarding  contrast in infarction except

a. Gyral parenchymal enhancement typically begins toward the end of the first week
b. Gyral parenchymal enhancement persists for approximately 6 to 8 months
c. early cortical enhancement suggested a more favorable clinical outcome
d. No Contrast enhancement during chronic  infarction
e. early arterial enhancement without significant early parenchymal enhancement  seen in most patients with a completed stroke

24.----b
Contrast enhancement on conventional MR images play an important role in the diagnosis of subacute infarction . Gyral parenchymal enhancement in the subacute infarction typically begins toward the end of the first week, when mass effect has resolved, and persists for approximately 6 to 8 weeks. This discordance between enhancement and mass effect is an extremely useful radiologic sign because enhancing lesions significant mass effect are unlikely to represent cerebral infarction . Subacute infarction represents one of the lesions that demonstrate significant enhancement and no mass effect .(Chapter 15,,Atlas)

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