CNS lymphoma - steroid response

Case contributed by Frank Gaillard
Diagnosis almost certain

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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

One week later

ct

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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