Presentation
Episodes of expressive dysphasia.
Patient Data
Age: 70 years
Gender: Male
From the case:
Glioblastoma IDH wild type
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Small rounded hypodensities in the left parietal lobe. Elsewhere grey white matter differentiation is preserved. No intracranial hemorrhage.
From the case:
Glioblastoma IDH wild type
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Two closely adjacent rim enhancing cystic masses in the left temporoparietal region with surrounding vasogenic edema and internal free diffusion most likely to represent metastases.
Case Discussion
Differentiating metastases and primary brain tumors on imaging is never straightforward. One diagnosis can be favored over the other based on certain features, however, a definitive diagnosis is not possible. In this case metastases were favored, however, the final diagnosis was glioblastoma IDH wild type (WHO Grade IV).
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