Intraventricular metastasis from renal cell carcinoma

Case contributed by Dr Alexandra Stanislavsky

Presentation

Middle aged female with increasing headaches.

Patient Data

Age: 55
Gender: Female

Pre-operative planning MRI

Modality: MRI

Lobulated lesion within the body of the right lateral ventricle, inseparable from the septum pellucidum, which has high T2/FLAIR signal with low signal rim and is isointense to grey matter T1 signal. There is mild hydrocephalus. Periventricular hyperintensity in the right peritrigonal region is consistent with transpendymal oedema.

Case Discussion

Limited sequences were performed for this pre-operative study.  The favoured imaging diagnosis was central neurocytoma.  Histopathology however concluded that this was metastatic renal cell carcinoma. 

Further questioning revealed a history of nephrectomy for RCC several years ago. 

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Case Information

rID: 15906
Case created: 20th Nov 2011
Last edited: 20th Oct 2015
Inclusion in quiz mode: Included

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