Cystic radionecrosis

Case contributed by Frank Gaillard , 10 Dec 2008
Diagnosis almost certain
Changed by Frank Gaillard, 23 Jan 2019

Updates to Case Attributes

Age was set to Adult.
Diagnostic Certainty was set to .
Body was changed:

Patient underwent a craniotomy and cyst decompression.

Histology confirmed radiation necrosis with no evidence of infection or tumour.

  • -<p>Patient underwent a craniotomy and cyst decompression. Histology confirmed radiation necrosis with no evidence of infection or tumour.</p>
  • +<p>Patient underwent a craniotomy and cyst decompression.</p><p>Histology confirmed radiation necrosis with no evidence of infection or tumour.</p>

Updates to Study Attributes

Findings was changed:

MassNon-contrast CT demonstrates bilateral hypodensity of the temporal poles with cysts and small areas of intracystic haemorrhage. On the left a large cyst exerts significant mass effect (left-to-right midline shift) from cystic . In the setting of prior nasopharyngeal carcinoma treated with radiotherapy, the likely diagnosis is radionecrosis. A radiation-induced tumour could co-exist. 

Images Changes:

Image CT (non-contrast) ( update )

Stack was set to .
Single Or Stack Root was set to .

Image CT (non-contrast) ( update )

Stack was set to .
Single Or Stack Root was set to .

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