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Case #20

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患者信息: 38 岁, 男性
检查指征: Headache

Case #20

影像所见

  • Mildly FLAIR hyperintense intraventricular mass in the body of the left lateral ventricle measuring 4.3 x 3.7 cm in axial dimensions with heterogeneous corresponding enhancement and restricted diffusion
  • The mass broadly contacts the septum pellucidum
  • Associated mass effect with 1.5 cm left-to-right midline shift
  • Crowding of the foramen of Monro with enlargement of the left greater than right lateral ventricles, consistent with obstructive hydrocephalus
  • T1 isointense, FLAIR hyperintense material alongside the mass and layering in the left greater than right lateral ventricles and third ventricle, most likely representing hemorrhage (likely related to ventricular drain placement)
  • Left frontal approach external ventricular drain terminates alongside or within the intraventricular mass. Mild edema along the parenchymal course of the catheter

诊断

Central neurocytoma

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