Age: 65Yrs
Sex: Male
Complaints: Head ache
Case study: Moderately enhancing right posterior parietal foci showing broad base to the dura measuring 1.8 x 3.4 x 2.5 cm. The foci shows evidence of dural tail with evidence of indentation on the adjacent brain parenchyma with mild adjacent white matter long TR hyperintensities, hypointense on T1WI. This foci shows mild diffusion restriction on the DWI/ADC.
Images:
Conclusion : A right sided posterior parietal significantly enhancing foci, broad base to dura with dural tail and adjacent brain parenchymal indentation and mild parenchymal edema – To consider possibility of meningioma.
MR spectroscopy shows significant elevation of the choline peaks with significant reduction in the NAA and altered CHO/NAA ratio. Significantly reduced creatine ratios also noted.