Temporal lobe radionecrosis

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Previous nasopharyngeal carcinoma with radiotherapy.

mri

The right temporal lobe demonstrates increased T2 signal predominantly in the white matter with minimal enhancement. MRS demonstrates preserved choline / NAA but an increase in lipid / lactate peaks.

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Case Discussion

The imaging features of radionecrosis are variable and depend both on timing, dose and individual patients. 

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