Dizziness and headache. No history of trauma.
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Solid lesion with small cystic component in pineal region. Lesion is isointense to grey matter on T1WI and hyperintense on T2WI/FLAIR and shows homogeneous contrast enhancement.
Resultant hydrocephalus with marked FLAIR hyperintensity around lateral ventricles due to transependymal oedema.
These MRI findings are suggestive of pineocytoma.