Solitary choroid plexus lipoma

Case contributed by Dr Ammar Ashraf

Presentation

Mouth deviation and lower limb weakness. Clinical suspicion of acute stroke.

Patient Data

Age: 65 years
Gender: Male
CT

A small lesion measuring approximately 4 mm having an average density of -56 HU is seen in the choroid plexus of right lateral ventricle, which is likely a choroid plexus lipoma. No acute infarction or intracranial hemorrhage is seen. 

MRI

Small hyperintense lesion in the right choroid plexus on T1 and T2-weighted sequences, with complete signal loss on the fat suppression sequences and blooming due to susceptibility artifact on SWI. 

Case Discussion

Small solitary fat density lesion in the trigone of the right lateral ventricle, which is likely a choroid plexus lipoma. It is an uncommon incidental finding and does not need any intervention. 

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Case information

rID: 90700
Published: 27th Jun 2021
Last edited: 30th Jun 2021
Inclusion in quiz mode: Included
Institution: Ministry of national guard health affairs

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