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Case #18

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Demographics: 13 years old, Male
Indication: Headaches

Case #18

Findings

  • Clustered T2/FLAIR hyperintense nodularity involving the right frontal operculum and superior insula
  • Normal appearance of the overlying cortex
  • No corresponding enhancement, restricted diffusion, or susceptibility artifact

Annotated Images & Illustrations

Clustered T2 hyperintense cystic structures in the subcortical white matter of the right frontal operculum and superior insula (red arrow) with normal appearance of the overlying cortex which is a typical appearance for MVNT.

Clustered T2 hyperintense cystic structures in the subcortical white matter of the right frontal operculum and superior insula (red arrow) with normal appearance of the overlying cortex which is a typical appearance for MVNT.

This lesion remains hyperintense on FLAIR (red arrow).

This lesion remains hyperintense on FLAIR (red arrow).

Diagnosis

Multinodular and vacuolating neuronal tumor (MVNT)

Key Imaging Features

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Differential Diagnosis

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Discussion

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Pearls

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