医学影像英语每日读丨72.Remote Cerebellar Hemorrhage（YWT领读）

每天朗读一段医学影像学英语文章

朗读者：YWT领读

A 43-year-old woman presents with headaches and seizures.

Preoperative MRI: There is a parafalcine extra-axial mass measuring 2.0 x 1.0 x 1.5 cm, with mild mass effect on adjacent frontal lobes, left more than right.

Postoperative MRI: Interval postoperative changes status post bifrontal craniotomy for parafalcine meningioma resection are seen with expected postsurgical changes (not fully shown). No definite nodular enhancement to suggest residual tumor. There is abnormal linear presumed susceptibility along the superior aspect of the left cerebellar hemisphere that is compatible with remote hemorrhage.

Postoperative CT: CT shows evolving hemorrhage in the left cerebellum, largely unchanged when compared with the prior MR images.

The patient was taken to the operating room for surgical resection. A postoperative MRI scan was performed. Axial pre- and postcontrast T1-, T2- and T2-weighted fluid-attenuated inversion-recovery (FLAIR), and diffusion-weighted (DWI) and apparent diffusion coefficient (ADC) MR images of the brain are shown below.

In addition, axial FLAIR and T1-weighted postcontrast images through the posterior fossa are shown from the preoperative MRI for comparison.

Diagnosis: Remote cerebellar hemorrhage

Notes:

1. seizure ['si:ʒə] 突然发作

2. parafalcine 大脑镰旁

3. extra-axial 轴外

Off the axis; applied to intracranial lesions that do not arise from the brain itself.

4. craniotomy [ˌkreɪnɪ'ɒtəmɪ] n. 穿颅术，开颅术

5. meningioma [məˌnɪndʒi:'oʊmə] n. 脑（脊）膜瘤

6. nodular ['nɒdʒələ] adj. 小节的，小瘤的，小结的

7. residual [rɪˈzɪdʒuəl] adj. 残留的; 残余的; n. 剩余; 残渣

8. hemorrhage [ˈhɛmərɪdʒ] n. （尤指大量的） 出血，失血; vi. 大出血

9. cerebellum [ˌserə'beləm] n. 小脑

10. resection [rɪ'sekʃn] n. 切除术; 后方交会; 反切法

11. fossa ['fɒsə] n. 窝，凹

posterior fossa 后颅窝

来源：每天朗读一段医学影像学英语文章