Dati demografici:
64 anni, Femmina
Indicazione:
Expressive aphasia
Reperti
CT
- Round, hyperattenuating mass in the left frontal lobe with surrounding vasogenic edema
MRI
- T1 hypointense, T2 isointense mass with a rim of relative T1 signal hyperintensity and T2 signal hypointensity in the left frontal lobe measuring 3.4 x 3.3 x 3.2 cm with finger-like enhancing projections and a satellite enhancing lesion more superiorly in the left frontal lobe
- Homogeneous, diffuse corresponding enhancement and restricted diffusion
- No associated susceptibility artifact
- Surrounding vasogenic edema and corresponding mass effect resulting in local sulcal effacement, crowding of the left lateral ventricle, and left-to-right midline shift measuring 4 mm
- No downward herniation or hydrocephalus
Diagnosi
Primary CNS lymphoma (PCNSL)
Caratteristiche chiave dell'imaging
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Diagnosi differenziale
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Discussione
Perle cliniche
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