Demographics:
62 years old, Female
Indication:
Stroke symptoms
Findings
- Large, heterogeneously enhancing mass with areas of central hypoenhancement involving the posterior left frontal lobe, superior left temporal lobe, and anterior left parietal lobe measuring 5 x 4.5 x 4.5 cm with surrounding white matter T2/FLAIR hyperintensity and multiple nearby satellite enhancing lesions
- The medial margin of the mass abuts the ependymal surface of the atrium of the left lateral ventricle
- Associated mass effect with local sulcal effacement, crowding of the left lateral ventricle, and left-to-right midline shift measuring 7 mm
- Dilation of the temporal horn of the left lateral ventricle, concerning for entrapment
Diagnosis
Glioblastoma, IDH-wild-type
Key Imaging Features
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Differential Diagnosis
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Discussion
Pearls
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References