Presentation
Increasing headaches.
Patient Data
Age: 20 years
Gender: Male
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Sagittal T1
Extensive leptomeningeal enhancement is noted. The pineal gland is bulky and enhances too vividly.
A lumbar puncture was performed.
Cytology
MICROSCOPIC DESCRIPTION:
Smears contain numerous large abnormal cells, showing cleaved nuclear and irregular nuclear contours, with scattered small lymphocytes consistent with recurrent large cell lymphoma. DCBCL CNS.
Case Discussion
This patient had systemic large cell lymphoma, and now developed a CNS relapse.