Cerebral radiation necrosis

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Patient with an adenocarcinoma metastasis treated with radiosurgery.

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

mri
Axial
T2
Axial
T1
Axial
DWI
Axial
FLAIR
Axial
T1 C+
Coronal
T1 C+
Axial MR
Perfusion
MR
Perfusion
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Info

Peripherally-enhancing lesion in the left parieto-occipital region surrounded by vasogenic edema. Note the reduced perfusion in the enhancing component helping to differentiate it from recurrence.

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