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Concussion imaging — MRCEM SBA MCQ

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ModerateConcussionConcussion imagingMRCEM SBA

A 30-year-old professional footballer asks whether a normal MRI brain two days after concussion means he can return to heading practice. What is the most appropriate return-to-play decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Do not clear return solely on normal structural imaging

Concussion is a functional disturbance and conventional structural imaging may be normal. Return decisions rely on symptoms, examination, graded exertion and clinical judgement. Normal MRI does not by itself establish recovery.

Reference: BJSM Amsterdam concussion consensus 2023