Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

02 April 2024: Articles

Hemorrhagic Presentation in Primary Central Nervous System Lymphoma: A Case Study

Unusual clinical course, Challenging differential diagnosis

Filipa Marques Rodrigues A* , Mariana Santos B , Ricardo Martins D

DOI: 10.12659/AJCR.942951

Am J Case Rep 2024; 25:e942951

Figure 2. 1.5 T MRI. A–C: Axial MRI T2-weighted images (A) and FLAIR images (B) showing a low-signal mass on the left basal ganglia (arrows), with associated isointensity (C) on T1-weighted images. D: This lesion revealed high signal on DWI (D1) with a corresponding low signal on the ADC map (D2), consistent with restricted diffusion (arrows). E–G: On post-contrast T1-weighted images (E), there was a homogenous enhancement of the lesion (arrow). Axial T2* images (F) depicted the hemorrhagic component, represented by marked hyposignal (arrow). No significant rCBV alterations were noted (G). Altogether, these findings were suggestive of lymphoma with associated hemorrhage. MRI – magnetic resonance imaging; FLAIR – fluid-attenuated inversion recovery; DWI – diffusion-weighted imaging; ADC – apparent diffusion coefficient; rCBV – relative cerebral blood volume.

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923