患者信息:
54 岁, 女性
检查指征:
Headache
影像所见
- Large, peripherally-enhancing, centrally necrotic mass bridging the right frontal and parietal lobes measuring 4.5 x 4.2 x 4.5 cm with extensive T2/FLAIR signal hyperintensity in the surrounding white matter
- Restricted diffusion correlating with the enhancing components
- Susceptibility artifact correlating with the area of central necrosis
- Additionally masslike area of restricted diffusion in the posterior left temporal lobe with a corresponding focus of enhancement along its anterior margin
- Mass effect in the right cerebral hemisphere resulting in local sulcal effacement, crowding of the right lateral ventricle, and 9 mm right-to-left midline shift
- Mild dilation of the temporal horn of the right lateral ventricle concerning for entrapment
诊断
Gliosarcoma
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