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Case #51

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Demographics: 58 years old, Female
Indication: Headache

Case #51

Findings

  • Symmetric, minimally expansile, patchy T2/FLAIR signal hyperintensity and enhancement in the dorsal pons, bilateral middle cerebellar peduncles, and bilateral cerebellar hemispheres, particularly in the regions of the dentate nuclei
  • These areas demonstrate diffusion signal hyperintensity without corresponding hypointense signal on the ADC map
  • No corresponding susceptibility artifact
  • No substantial corresponding mass effect

Diagnosis

Erdheim-Chester disease

Key Imaging Features

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Differential Diagnosis

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Discussion

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Pearls

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