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Case #30

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Demographics: 16 years old, Male
Indication: Headache

Case #30

Findings

  • Large extra-axial cystic structure centered in the left sylvian fissure and extending along the left frontal and temporal convexities measuring 6 x 4.5 x 9 cm
  • Signal intensity follows CSF on all sequences
  • No corresponding restricted diffusion or enhancement
  • Corresponding local mass effect with 5 mm left-to-right midline shift and mild mass effect on the left cerebral peduncle
  • No evidence of hydrocephalus

Diagnosis

Arachnoid cyst

Key Imaging Features

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Differential Diagnosis

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Discussion

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