The fellows and residents who have read out with me will tell you that the one (?!) thing never to put in a report is “clinical correlation required”; I want them to spell out specifically what it is that needs to be correlated with the imaging. In the words of Pat Hudgins, MD, I want to be a “value-added neuroradiologist.” We should be helping our referring clinicians determine the potential significance of imaging findings, and we should also try to bridge the clinical-radiological gap in understanding how diseases manifest. I learn so much more about neuroradiology when my clinicians tell me what they are finding too! So what better title for a new online AJNR Case Collection section than “Clinical Correlation”?
Yesterday we debuted a unique monthly quiz presentation that showcases key imaging findings with their clinical manifestation. Understanding what our neurosurgery, ENT, neurology, pathology, and other clinician colleagues see in the OR, the ER, or the outpatient clinic can add clinical depth to our neuroradiology knowledge. Similarly, learning to recognize the gross appearance or the key microscopic findings of pathologic processes can bring better understanding of their radiologic manifestations. Even seeing characteristic EEG traces will add to our reading room or clinical conference discussions.
The first case is a submission from Matt Russell—one of the Assistant Section Editors (and my ENT hospitalist)—and me, which shows the clinical correlate of loss of sinonasal mucosal contrast enhancement with tissue necrosis from ?????. (You’ll have to take a look and see the answer!) We look forward to sharing many different neuro-relevant cases from the world of AJNR online readers. So make friends with your clinicians, and please submit your cases to us!