Patient reffered problems with understanding the meaning of words associated with progressive headache that started 2 months ago. He did not suffered from any other neurological symptoms. He was directly reffered to us to undergo an MR with suspicion of a mass or a stroke onset.
Here are the relevant images:
FLAIR
T1
POST GAD
T2
With this medical history given, make some differential diagnosis. Later on, I'll post further information and conclusion.
iso-hyper in T2
ResponderEliminarHypointense core in T2
rim enhancement with nodularity
surrounding oedema with necrotic center
Likely a tuberculoma
D/D
Toxoplasma,Cysticercosis,fungus,lymphoma,radiation necrosis
Great differentials..agree, most likely NCC but ring is wide and there is no scolex within. Soon I'll post the conclusion
ResponderEliminar