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Case #31

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Demographics: 2 years old, Female
Indication: Imbalance, large nevus on back

Case #31

Findings

  • Multiple T1 hyperintense lesions predominantly centered within the cortex with largest foci in the medial left temporal lobe/amygdala and the left hemipons
  • Cavum veli interpositi
  • No abnormal intracranial enhancement
  • No substantial intracranial mass effect or hydrocephalus

Annotated Images & Illustrations

Multiple T1 hyperintense lesions scattered along the surface of the brain and brainstem (red arrows) in this patient with neurocutaneous melanosis.

Multiple T1 hyperintense lesions scattered along the surface of the brain and brainstem (red arrows) in this patient with neurocutaneous melanosis.

Diagnosis

Meningeal melanocytosis (neurocutaneous melanosis)

Key Imaging Features

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Differential Diagnosis

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Discussion

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