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Ependymoma

Banks KB - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Ependymoma

History: A 32 year-old male presented to his primary care provider with unremitting neck pain. He denied any history of trauma. The patient was unresponsive to conservative therapy and plain-film radiographic evaluation was negative. Patient was subsequently referred for a cervical spine MR for further evaluation.

Findings: MRI of the cervical spine and with subsequent CE brain MR demonstrate a lobulated mass within the posterior fossa. The lesion appears to originate in the fourth ventricle and is centered on the midline. The tumor is isointense to gray matter on T1 and mixed iso/hypointense on T2 weighted images. There are scant areas of T1&T2 hypodensity seen which are representative of calcifications or flow voids. There is scattered enhancement with contrast administration.

Ddx: Ependymoma Choroid Plexus Tumor PNET Metastasis

Dxhow: Surgically confirmed.

Exam: Diffuse posterior neck pain w/o any focal tenderness on exam. Patient was neurologically intact.

No MeSH data available.


Axial T2WI of the brain demonstrates a multilobulated mass in the fourth ventricle. The lesion is of mixed iso/hypointensity when compared to gray matter and demonstrates a small focus of very low signal intensity consistent with an intralesional calcification.
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MPX1420_synpic19080: Axial T2WI of the brain demonstrates a multilobulated mass in the fourth ventricle. The lesion is of mixed iso/hypointensity when compared to gray matter and demonstrates a small focus of very low signal intensity consistent with an intralesional calcification.


Ependymoma

Banks KB - MedPix

Axial T2WI of the brain demonstrates a multilobulated mass in the fourth ventricle. The lesion is of mixed iso/hypointensity when compared to gray matter and demonstrates a small focus of very low signal intensity consistent with an intralesional calcification.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1420&req=5

MPX1420_synpic19080: Axial T2WI of the brain demonstrates a multilobulated mass in the fourth ventricle. The lesion is of mixed iso/hypointensity when compared to gray matter and demonstrates a small focus of very low signal intensity consistent with an intralesional calcification.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Ependymoma

History: A 32 year-old male presented to his primary care provider with unremitting neck pain. He denied any history of trauma. The patient was unresponsive to conservative therapy and plain-film radiographic evaluation was negative. Patient was subsequently referred for a cervical spine MR for further evaluation.

Findings: MRI of the cervical spine and with subsequent CE brain MR demonstrate a lobulated mass within the posterior fossa. The lesion appears to originate in the fourth ventricle and is centered on the midline. The tumor is isointense to gray matter on T1 and mixed iso/hypointense on T2 weighted images. There are scant areas of T1&T2 hypodensity seen which are representative of calcifications or flow voids. There is scattered enhancement with contrast administration.

Ddx: Ependymoma Choroid Plexus Tumor PNET Metastasis

Dxhow: Surgically confirmed.

Exam: Diffuse posterior neck pain w/o any focal tenderness on exam. Patient was neurologically intact.

No MeSH data available.