History of a progressive headache. Diagnosis confirmed by biopsy. Patient in follow-up, with previous radiotherapy.
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MRI demonstrates an intra-axial mass involving the right temporal lobe, predominantly hypointense on T1 and hyperintense on T2, exhibiting a heterogeneous and peripheral enhancement in the post-contrast study.
Midline shift, cerebral edema and marked mass effect, especially upon the atrium, are noted.
Also is seen hyperintense areas involving supratentorial white matter on T2 and FLAIR weighted imaging, probably secondary to microangiopathy and/or radiotherapy.
- Anne G. Osborne. Osborn´s brain: imaging, pathology, and anatomy. 1st ed. Amirsys; 2013.
- Louis DN, Perry A, Reifenberger G et-al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol. 2016;131:803-20.