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Germinoma

Case contributed by: Dr Hani Alsalam

Presentation:

Increasing headache and visual symptoms.

Patient Data:

Age: 30 years
Gender: Male

CT brain

Modality: CT

A large lobulated mass is centered on the pineal gland, engulfing the pineal calcifiation. It is somewhat hyperdense compared to adjacent brain. A further smaller mass is seen in the floor of the third ventricle. The midbrain is distorted, compressed and demonstrates low density suggestive of oedema. Obstructive hydrocephalus is present. 

MRI brain

Modality: MRI

Case Discussion:

Path proven germinoma

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