Multiple midline intracranial Germinomas

2014-09-15 13:12:30

Category: Neuroradiology, Region: Head-Brain and brain nerves, Plane: MPR

A well defined lobulated T2 mixed signal intensity and FLAIR hyperintense mass lesion in pineal region showing diffusion restriction with low ADC value causing posterior 3rd ventricular obstruction and subsequent obstructive hydrocephalus. Post gadolinium post contrast scan in different planes showed moderate homogenous enhancement on Pineal region mass. Similar smaller enhancing masses are noted in suprasellar cistern and optico-chiasmatic region (yellow arrows in H. features are consistent with multiple midline germinomas