Presentation
Enlarging head size and poor development.
Patient Data
Age: 4 months
Gender: Female
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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.
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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.