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Findings, case of 30 y/o woman, cranial VI nerve palsy, mass

Imaging Findings

Coronal CT, Soft Tissue Window
Coronal CT, Bone Window
Axial T1 MRI
Axial T1 post-gadolinium with fat suppression
Axial T2 MRI
Sagittal T1 post-gadolinium
Gallium-67 scintigraphy of the head
Gross Pathology

Coronal CT demonstrates a soft tissue mass (white arrows) in the parapharyngeal region and nasopharynx, extending to the sphenoid and posterior ethmoid sinuses (black arrows, see above link) without obvious bone destruction.

MR images demonstrate an intermediate T1 (arrow) and increased T2 (arrow) signal intensity mass in Waldeyer's ring region with diffuse homogeneous enhancement with gadolinium (arrow).

The mid sagittal T1-weighted image demonstrates extension of the mass (short white arrows) into the sphenoid sinus (black arrows, see above link) and the retroclival region (long white arrows, see above link) intracranially.

Gallium-67 scintigraphy of the head demonstrates intense uptake in the mass visible on CT and MRI.

The Full Case Report


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