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Case: Ependymoma

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Here's a patient with a fourth ventricular mass,

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can actually see it's extending inferiorly

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through frame Mai.

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On this axial image, it fills the fourth ventricle.

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Has intermediate T two signal

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characteristics, a little bit heterogeneous.

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It's sort of bright here, a little bit darker over here.

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So there's some heterogeneity.

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There's no significant post contrast enhancement.

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There's intermediate diffusivity.

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The quantitative was about 1150.

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So that errors a little bit more on the

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facilitated diffusion side.

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Um, much higher than, uh, Dr.

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Rumble's, uh, paper showed any of the MedU neuroblastomas.

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The CT showed intermediate density of the solid portions.

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We're not seeing the high density

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that we saw on those o some of those other cases.

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This patient also has obstructive hydrocephalus.

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We can see on this image, on this, um,

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balance steady state free procession image.

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We see extension through the bilateral foram of Monroe,

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actually into the, um, through the protruding,

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into the porous ticus,

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towards the inter auditor canals bilaterally.

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And this was an appendamoma.

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Um, so again, it's not as cellular, so it's not

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as dark on T two, not as bright on ct, not as, um, high,

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um, low diffusivity as a Blas stoma.

Report

Faculty

Asim F Choudhri, MD

Chief, Pediatric Neuroradiology

Le Bonheur Children's Hospital

Tags

Oncologic Imaging

Neuroradiology

Neoplastic

MRI

Brain