EURORAD ESR

Case 14808

Gliobastoma with leptomeningeal dissemination

Author(s)
Magdalena Pucurull, MD.1, Donato Angel, MD., Figueroa Ramon E.MD. FACR.2

(1) Hospital de clínicas; Avenida Italia 11600 Montevideo, Uruguay
(2) Augusta University, Augusta GA, USA
Email:maggiep126@hotmail.com
 
Patient
female, 34 year(s)
 
 
  • Figure 1
    MRI Axials T1,T2, Post-Gd, DWI, ADC, rCBV
     

    Heterogeneous intra-axial mass within the left middle frontal gyrus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Strong susceptibility signal loss within the lesion suggests microhaemorrhage and neovascularity.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Enhancing irregular behaviour also implies aggressive tumour behaviour.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Diffusion signal abnormality suggests high cellular tumour packing and internal tumour ischaemia.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Diffusion restriction on ADC maps also suggests high cellular tumour packing and internal tumoru ischaemia.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Elevated rCBV by MR perfusion compared to contralateral normal parenchyma correlates with increased tumour neovascularity.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 2
    MRI Axials T1,T2, Post-Gd, DWI, ADC, rCBV
     

    Heterogeneous intra-axial mass within the left middle frontal gyrus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Heterogeneous intra-axial mass within the left middle frontal gyrus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Enhancing irregular behaviour also implies aggressive tumour behaviour.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Diffusion signal abnormality suggests high cellular tumour packing and internal tumour ischaemia.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Diffusion restriction on ADC maps also suggests high cellular tumour packing and internal tumour ischaemia.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Elevated rCBV by MR perfusion compared to contralateral normal parenchyma correlates with increased tumour neovascularity.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 3
    MRI Cervical spine T1 FS +Gd
     

    Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 4
    MRI Thoracic spine. T1 FS +Gd
     

    Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.

     
    Area of Interest: Spine; Imaging Technique: Mammography; Procedure: Education; Special Focus: Pathology;

    Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;

    Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Education; Special Focus: Pathology;
     
     
Heterogeneous intra-axial mass within the left middle frontal gyrus.
 
Strong susceptibility signal loss within the lesion suggests microhaemorrhage and neovascularity.
 
Enhancing irregular behaviour also implies aggressive tumour behaviour.
 
Diffusion signal abnormality suggests high cellular tumour packing and internal tumour ischaemia.
 
Diffusion restriction on ADC maps also suggests high cellular tumour packing and internal tumoru ischaemia.
 
Elevated rCBV by MR perfusion compared to contralateral normal parenchyma correlates with increased tumour neovascularity.
 
Heterogeneous intra-axial mass within the left middle frontal gyrus.
 
Heterogeneous intra-axial mass within the left middle frontal gyrus.
 
Enhancing irregular behaviour also implies aggressive tumour behaviour.
 
Diffusion signal abnormality suggests high cellular tumour packing and internal tumour ischaemia.
 
Diffusion restriction on ADC maps also suggests high cellular tumour packing and internal tumour ischaemia.
 
Elevated rCBV by MR perfusion compared to contralateral normal parenchyma correlates with increased tumour neovascularity.
 
Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.
 
Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.
 
Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.
 
Multifocal drop metastases in cervical and resulting in C5-T2 severe cord compression and cord edema.
 
Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.
 
Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.
 
Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.
 
Widespread intradural, extramedullary enhancing mass lesions at all visible levels with associated mass effect and cord edema.
 
 
 
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