所見
CT
- Mixed attenuation mass with internal calcification centered in the posterior right temporal lobe
- Associated mass effect on the right lateral ventricle without midline shift or hydrocephalus
- Scalloping of the adjacent inner table of the calvarium
MRI
- Mixed cystic/solid mass centered in the posterior right temporal lobe measuring 4.5 x 4 x 3.7 cm
- The solid component avidly enhances and the cystic components demonstrate peripheral enhancement
- The more superior of the two dominant cystic components demonstrates relative T1 signal hyperintensity internally
- Areas of susceptibility artifact corresponding with areas of calcification on the CT
- The mass broadly contacts the overlying dura and the ependymal margin of the atrium of the right lateral ventricle, appearing to contact the choroid plexus
- Mild surrounding vasogenic edema
診断
Pleomorphic xanthoastrocytoma (PXA)
主要な画像所見
主要な画像特徴を解放するにはPROメンバーになってください
鑑別診断
鑑別診断を解放するにはPROメンバーになってください
考察
臨床のポイント
臨床のコツを解放するにはPROメンバーになってください