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Case #27

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Demographics: 0 days old, Male
Indication: Hydrocephalus (term delivery)

Case #27

Findings

  • Large, heterogeneous mass centered in the quadrigeminal plate region measuring 6 x 2.8 x 6 cm
  • Extensive corresponding mass effect on the midbrain with effacement of the cerebral aqueduct and associated severe obstructive hydrocephalus with cerebral parenchymal thinning
  • Small volume hemorrhage layering in both lateral ventricles and fourth ventricle with rounded clot in the third ventricle
  • Small volume scattered subarachnoid hemorrhage
  • Additional noncontiguous masses in the left cerebellopontine angle cistern and along the ependymal margin of the frontal horn of the left lateral ventricle at the caudothalamic groove
  • The above described masses demonstrate areas of restricted diffusion (particularly the two smaller lesions) but no discrete enhancement

Diagnosis

Embryonal tumor with multilayered rosettes (ETMR)

Key Imaging Features

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Differential Diagnosis

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Discussion

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