Dati demografici:
54 anni, Femmina
Indicazione:
Headache
Reperti
- Large, peripherally-enhancing, centrally necrotic mass bridging the right frontal and parietal lobes measuring 4.5 x 4.2 x 4.5 cm with extensive T2/FLAIR signal hyperintensity in the surrounding white matter
- Restricted diffusion correlating with the enhancing components
- Susceptibility artifact correlating with the area of central necrosis
- Additionally masslike area of restricted diffusion in the posterior left temporal lobe with a corresponding focus of enhancement along its anterior margin
- Mass effect in the right cerebral hemisphere resulting in local sulcal effacement, crowding of the right lateral ventricle, and 9 mm right-to-left midline shift
- Mild dilation of the temporal horn of the right lateral ventricle concerning for entrapment
Diagnosi
Gliosarcoma
Caratteristiche chiave dell'imaging
Diventa membro PRO per sbloccare le caratteristiche chiave dell'imaging
Diagnosi differenziale
Diventa membro PRO per sbloccare la diagnosi differenziale
Discussione
Perle cliniche
Diventa membro PRO per sbloccare le perle cliniche