Demographics:
52 years old, Female
Indication:
Evaluate for CNS involvement of diffuse large B cell ly...
Evaluate for CNS involvement of diffuse large B cell lymphoma
Findings
- FLAIR and diffusion signal hyperintensity in several bilateral cerebral sulci as well as layering in the occipital horn of the left lateral ventricle
- No abnormal intracranial enhancement
- No evidence of acute infarct, mass effect, or hydrocephalus
- Few scattered T2/FLAIR hyperintensities in the subcortical and periventricular white matter
Diagnosis
Subarachnoid hemorrhage (SAH)
Sample Report
FLAIR and diffusion signal hyperintensity in several bilateral cerebral sulci as well as layering in the occipital horn of the left lateral ventricle, which may represent trace subarachnoid hemorrhage, tumor dissemination, or proteinaceous material/exudate in the setting of meningitis. Recommend correlation with CSF analysis.
No enhancing intracranial mass.
No evidence of acute infarct, mass effect, or hydrocephalus.
Few scattered T2/FLAIR hyperintensities in the subcortical and periventricular white matter, which are nonspecific and may relate to chronic small vessel disease or posttreatment changes.
Discussion