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Non-enhancing brain lesion with Multiva

Case Study
Ajithkumar, Devaki Ramachandran Philips Healthcare • China, People's Republic of
Rajendran, Karthick Raj Philips Healthcare • India
Aziz, Mudasir Philips Healthcare • India

Patient history

A 22-year-old female with a history of headache and complaints of double vision for the last 10 days presented at Holy Family Hospital, New Delhi, India. She underwent MR examination on Multiva 1.5T

MR examination

The MR examination was performed on a release 5.1 Multiva 1.5T system using the head part of the HeadSpineTorso (HST) coil. The high coil element density provides excellent SNR and resolution in imaging of the brain.

View ExamCard used

Images and findings

Click on an image to enlarge.
Axial FLAIR Scan time 3:51 min. <br>
FOV 230 x 230 mm <br>
Voxel size 0.95 x 0.9 x 5.0 mm<br>
TR 11 s, TE 140 ms<br>Isotropic post contrast T1 Scan time 4:28 min. <br>
FOV 240 x 240 mm <br>
Voxel size 1.0 x 1.0 x 1.0 mm<br>
TR 25 ms, TE 5 ms <br>
Axial FLAIR
Isotropic post contrast T1
Scan time 3:51 min.
FOV 230 x 230 mm
Voxel size 0.95 x 0.9 x 5.0 mm
TR 11 s, TE 140 ms
Scan time 4:28 min.
FOV 240 x 240 mm
Voxel size 1.0 x 1.0 x 1.0 mm
TR 25 ms, TE 5 ms


The imaging delivers evidence of small well marginated round non-enhancing cystic lesion in the midline along the third ventricle. The lesion appears homogeneously hyperintense on T2W, iso-hypointense on T1W and hypointense on FLAIR with no ADC restriction.

The high resolution imaging protocol also demonstrates small T2 and FLAIR hyperintense non-enhancing foci in the left parieto-occipital periventricular region.

Diagnosis

Possible differential diagnosis may be a neuro epithelial cyst / colloid cyst of the third ventricle.

Impact of imaging with Multiva 1.5T

MR imaging of the brain was performed in multiple planes and with different weighting. The high coil element density provides excellent SNR and resolution. 



Results from case studies are not predictive of results in other cases. Results in other cases may vary.


  
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Case Study
Multiva 1.5T
Release 5
Brain, HeadSpineTorso coil, Neuro
 

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