63-year-old female with a brain mass

Brian Trotta, MD, University of Virginia Medical School, Charlottesville, VA

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Abstract:  63-year-old female presented to an outside hospital with a headache and ataxia. A computed tomography (CT) performed there demonstrated an avidly enhancing heterogeneous mass. She was then transferred to a facility where the following magnetic resonance (MR) images were obtained.

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Question Text 

Which feature is most helpful in determining the diagnosis?
 

Answers
 Answer: Avid enhancement 
Correct Answer? 
No
Answers
 Answer: Prominent perilesional vascularity 
Correct Answer? 
Yes
Answers
 Answer: Extra-axial location 
Correct Answer? 
No
Answers
 Answer: Edema in the surrounding parenchyma 
Correct Answer? 
No
Answers
 Answer: Heterogeneous isointensity on T1 and T2 
Correct Answer? 
No
 
Case Study Link: 63-year-old female with a brain mass   

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