Meningioma with high T2 signal

Case contributed by Frank Gaillard
Diagnosis certain

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

An intensely high T2 signal extra-axial mass with vivid contrast enhancement and a dural tail (best seen on coronal) is seen in the left middle cranial fossa. 

Case Discussion

The patient went on to have a resection. 

Histology

Microscopic Description:  Sections show small pieces of a relatively hypocellular tumor displaying numerous hyalinized capillaries. A few foci of recognizable meningioma are seen. Areas of sclerosis are also noted. Brain tissue is not identified.

Final Diagnosis: Meningioma (WHO grade 1)

Discussion

It is important to realize that some meningiomas, especially microcystic, secretory and angiomatous variants can be very bright on T2. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.