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Case #28

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Demographics: 3 years old, Male
Indication: Speaking difficulty, imbalance

Case #28

Findings

  • Heterogeneous mass in the left cerebral hemisphere measuring 5.3 x 5 x 6 cm
  • Corresponding heterogeneous enhancement with matching areas of restricted diffusion
  • Areas of intrinsic T1 signal hyperintensity, particularly along the deep margin of the mass
  • Surrounding vasogenic edema and associated mass effect resulting in local sulcal effacement, crowding of the left lateral ventricle, and 10 mm left-to-right midline shift
  • Entrapment of the temporal horn of the left lateral ventricle

Diagnosis

Atypical teratoid/rhabdoid tumor (AT/RT)

Key Imaging Features

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Differential Diagnosis

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Discussion

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Pearls

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