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Primary CNS Lymphoma - Coronal Scans

A 72 year-old woman on chronic steroids and immunosuppressives for rheumatoid arthritis developed confusion, poor memory and a left hemiparesis over 3 weeks.

Show the Midline Shift         Show the Gadolinium Enhancement         Show the Vasogenic Edema

Primary CNS Lymphoma: T1-weighted with gadolinium coronal MRIs. Note the large enhancing mass involving the right frontal lobe and the basal ganglia (especially the caudate) with surrounding edema. Biopsy showed lymphoma.

Primary central nervous system lymphoma is a rare brain tumor, primarily seen in immunocompromised patients (e.g., AIDS, organ transplantation). Patients present with headaches, seizures, or focal neurological deficits. The tumor can involve the deep white matter, the meninges, and the eye. If it involves the deep white matter, it may spread across the corpus callosum, similar to the pattern seen in glioblastoma multiforme.


Revised 11/28/06.
Copyrighted 2006. David C Preston