Chondrosarcoma - sphenoid wing

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Headaches.

Patient Data

Age: 55 years
Gender: Male
Axial
T2
Axial
FLAIR
Axial
T1
Axial
T1 C+
Coronal
T1 C+
Sagittal
T1 C+
Axial
DWI
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Info

Selected MRI images demonstrate a large left sphenoid wing extra-axial mass that has very high T2 signal and vivid contrast enhancement. The adjacent brain is displaced with minimal edema. 

The off-midline location and very high T2 signal suggest the diagnosis of chondrosarcoma. 

Case Discussion

The patient went on to have a resection. Histology confirmed a chondrosarcoma.

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