CNS lymphoma: steroid response

Case contributed by A.Prof Frank Gaillard

Patient Data

Age: 70 years
Gender: Male
CT

Mass lesion adjacent to the fourth ventricle, which is hyperdense on noncontrast imaging with vivid postcontrast enhancement. Adjacent hypodensity likely representing vasogenic oedema. 

CT

One week later

Almost complete resolution of the enhancing periventricular mass.

Case Discussion

This 70 year old man was treated with steroids on the presumptive diagnosis of CNS lymphoma. The mass is strikingly periventricular and hyperdense on precontrast CT.

On images one week later the mass has almost completely disappeared, which is characteristic of lymphoma.

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Case information

rID: 4929
Case created: 5th Nov 2008
Last edited: 9th Nov 2016
Inclusion in quiz mode: Included

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