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Case #5

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Demographics: 34 years old, Male
Indication: Headache

Case #5

Findings

  • Infiltrative, mildly expansile area of T2/FLAIR hyperintensity involving the left insula, anterior left temporal pole, and inferior left orbitofrontal cortex extending medially to involve the posterior aspect of the left gyrus rectus
  • No associated restricted diffusion, susceptibility artifact, or enhancement
  • Dilated perivascular spaces in the left midbrain

Diagnosis

IDH-mutant astrocytoma

Key Imaging Features

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Differential Diagnosis

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Discussion

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Pearls

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