Findings, case of 29 y/o man, headache

Imaging Findings

A sagittal T1-weighted magnetic resonance image (without contrast) shows a well-circumscribed mass in the pineal region. The signal of the mass is isointense and homogeneous. The corresponding T2-weighted image shows a cystic lesion with a lower-intensity fluid level. Pre- and post-contrast T1-weighted images show minimal, diffuse enhancement of the lesion. This mild diffuse enhancement is confirmed on a coronal view.

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