Choroid plexus carcinoma

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Enlarging head size and poor development.

Patient Data

Age: 4 months
Gender: Female

CT brain

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
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Info

An enormous left sided mass composed of solid enhancing tissue and numerous surrounding cysts is present with enlargement of the skull and marked midline shift. 

MRI brain

mri
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial T1 inversion
recovery
This study is a stack
Sagittal
T1 C+
This study is a stack
Sagittal
T2
This study is a stack
Coronal
T2
This study is a stack
Coronal
FLAIR
Coronal
T1 C+
This study is a stack
MRV
This study is a stack
MRA
This study is a stack
Axial
DWI
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Info

MRI demonstrates a very large heterogeneous mass with solid and cystic components and postcontrast enhancement. No convincing fatty components. 

Apologies for the poor contrast / brightness of DWI sequence - the first sequence is DWI followed by B=0

Case Discussion

Typical albeit extreme appearances of a choroid plexus carcinoma. 

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