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    Your diagnosis?

    Test your radiological knowledge and diagnose this case!

      >>> Thumbnail Gallery

      History:
      3 month-old infant. In the newborn-screening in an outside clinic, a echogenic - partly cystic - structure in the area ventral to the nucleothalamic groove was seen. This was judged as a finding after cerebral hemorrhage and was called for a follow-up examination in the 6th week of life. There were no other clinical signs.

      Radiological findings:

      Ultrasound 1 :: View Ultrasound 1 in Toolbox ::
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      Ultrasound 1:
      Sonographic image of the tumor in coronal slice. About 57 x 35 x 42 mm mass with predominantly echogenic, but also areas of low echogenicity and cystic areas. Particularly the knees of the corpus callosum is not clearly distinguishable. The tumor is well-marcated caudally.




      Ultrasound 2 :: View Ultrasound 2 in Toolbox ::
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      Ultrasound 2:
      Sonographic image of the tumor in saggital slice. About 57 x 35 x 42 mm mass with predominantly echogenic, but also areas of low echogenicity and cystic areas




      MRI 1 :: View MRI 1 in Toolbox ::
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      MRI 1:
      T1 sagittal native:
      inhomogenic intensity with very hyperintense areas, which are hypointense in T2, and therefore are classified as hemorrhages. Cranially, you cannot distinguish the corpus callosum. Spans below the corpus callosum into both lateral ventricles.






      MRI 2 :: View MRI 2 in Toolbox ::
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      MRI 2:
      T1 coronal after contrast:
      An increased contrast media uptake in the tumor. Both lateral ventricles show compression.




      MRI 3 :: View MRI 3 in Toolbox ::
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      MRI 3:
      T1 before contrast application, transversal:
      Obvious widening of the lateral ventricles (right side more than left). Hemorrhage in the TM.




      MRI 4 :: View MRI 4 in Toolbox ::
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      MRI 4:
      T1 transversal, after contrast. obvious contrast uptake (compare to MRI 3).




      MRI 5 :: View MRI 5 in Toolbox ::
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      MRI 5:
      T2 transversal:
      The tumor grew into both lateral ventricles. There are cystic areas and areas of low signal (hemorrhage). Missing perifocal edema.




    Thumbnail Gallery

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