Chordoma

Case contributed by A.Prof Frank Gaillard
CT

CT demonstrates a large destructive isodense soft tissue mass arising from the clivus and extending both anteriorly into the sphenoid sinus and posteriorly into the pre pontine cistern, where it indents the pons and displaces the basilar artery to the left.

MRI

MRI demonstrates a large destructive soft tissue mass arising from the clivus and extending both anteriorly into the sphenoid sinus and posteriorly into the pre pontine cistern, where it indents the pons and displaces the basilar artery to the left. 

The mass shows low T1 and high T2 signal, and demonstrates strong contrast enhancement. Features are consistent with a chordoma which was histologically confirmed. 

Case Discussion

MRI and CT demonstrate a large destructive soft tissue mass arising from the clivus and extending both anteriorly into the sphenoid sinus and posteriorly into the pre pontine cistern, where it indents the pons and displaces the basilar artery to the left. 

The mass is isodense to brain on CT, low T1 and high T2 signal, and demonstrates strong contrast enhancement. Features are consistent with a chordoma which was histologically confirmed. 

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Case information

rID: 4555
Case created: 12th Sep 2008
Last edited: 8th Nov 2016
Inclusion in quiz mode: Included

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