Case 4425870
66 YO Male
Clinical Presentation:
3 weeks left face/upper limb weakness and confusion
Previous History:
None
Diagnosis:
Glioblastoma
Imaging Performed:
CT Brain Pre & Post Contrast
Report Findings:
CT:
Multilocular solid cystic right temporal lobe mass with a possible adjacent cortical thickening, inadequately assessed on CT. This lesion is favoured to represent a high-grade glial series neoplasm, the differential being of a metastasis. Further evaluation with MRI is recommended. Marked mass effect, with 10 mm midline shift and downward transtentorial herniation.
MRI Brain Pre & Post Contrast
Report Findings:
MRI:
Heterogeneous enhancing right temporal and insular mass, felt to most likely represent a a high-grade hypercellular a glial series tumour (glioblastoma), the differential of a solitary metastasis considered less likely. Marked mass effect with midline shift of 11 mm to the left.
Treatment plan:
- Craniotomy and excision of right sided intracranial tumour
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