Question 536
{"accessible":true,"alternatives":[{"id":2689,"text":"cerebral metastasis"},{"id":2690,"text":"choroid plexus papilloma"},{"id":2691,"text":"ependymoma"},{"id":2692,"text":"glioblastoma"},{"id":2693,"text":"intraventricular meningioma"}],"archived":false,"correctAlternativeId":2693,"explanation":"\u003cp\u003eThe very circumscribed rounded appearance with vivid enhancement located in the trigone is typical of an intraventricular meningioma.\u0026nbsp;\u003c/p\u003e\u003cp\u003eNone of the other alternatives would usually have this appearance or location in this age group. Although tempting to assume it will be metastatic, 5 years without evidence of metastatic disease makes an\u0026nbsp;isolated cerebral recurrence of pancreatic carcinoma unlikely.\u0026nbsp;\u003c/p\u003e","id":536,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/857/image0001_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":21031},"imageAttributionCaseInfo":{"title":"Psammomatous meningioma - intraventricular","contributor_name":"Frank Gaillard","contributor_param":"frank","case_rid":21031,"case_param":"psammomatous-meningioma-intraventricular-1"},"firstQuestionPath":"/questions/2383","nextQuestionPath":"/articles/ependymoma/questions/535","relatedArticles":[{"id":4924,"title":"Brain metastases","link":"/articles/brain-metastases?lang=us"},{"id":8627,"title":"Choroid plexus papilloma","link":"/articles/choroid-plexus-papilloma-1?lang=us"},{"id":4145,"title":"Intraventricular neoplasms and lesions","link":"/articles/intraventricular-neoplasms-and-lesions?lang=us"},{"id":1523,"title":"Intraventricular meningioma","link":"/articles/intraventricular-meningioma?lang=us"},{"id":21040,"title":"Intraventricular masses (an approach)","link":"/articles/intraventricular-masses-an-approach-1?lang=us"},{"id":4910,"title":"Glioblastoma, IDH-wildtype","link":"/articles/glioblastoma-idh-wildtype?lang=us"}],"alsoUsedIn":[{"id":1175,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1175","link":"https://radiopaedia.org/courses/adult-neuroradiology-review-course/pages/1175"},{"id":1175,"kind":"Course","title":"Adult Neuroradiology Review Course - page 1175","link":"https://radiopaedia.org/courses/adult-brain-mri-review-course-2015-online-video/pages/1175"},{"id":1175,"kind":"Course","title":"Content Previews - page 1175","link":"https://radiopaedia.org/courses/previews/pages/1175"}],"stem":"\u003cp\u003eAn 80-year-old female, with a history of pancreatic carcinoma five years previously, now in remission with no known systemic metastatic disease, presents with headaches. She undergoes a contrast enhanced MRI. What is the most likely diagnosis?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/536"}],"attemptsPercentages":[{"alternativeId":"2690","percentage":7},{"alternativeId":"2691","percentage":3},{"alternativeId":"2693","percentage":72},{"alternativeId":"2689","percentage":17},{"alternativeId":"2692","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"ependymoma"}