eMedicine Specialties > Radiology > Brain/Spine

Brain, Lymphoma: Multimedia

Author: Djamil Fertikh, MD, Attending Physician, Division of Radiology, Association of Alexandria Radiologists
Coauthor(s): Christian E Artman, MD, Staff Physician, Department of Diagnostic Radiology, Mercy Catholic Medical Center; Michael L Brooks, MD, JD, FCLM, Clinical Associate Professor of Radiology, Philadelphia College of Osteopathic Medicine; Director of Neuroradiology, Mercy Diagnostic Imaging, Department of Radiology, Mercy Fitzgerald Hospital
Contributor Information and Disclosures

Updated: Sep 9, 2008

Multimedia

Nonenhanced CT scan of the head on a 56-year-old ...Media file 1: Nonenhanced CT scan of the head on a 56-year-old woman with a change in mental status shows a nodular, moderately hyperattenuating lesion adjacent to the right lateral ventricle, within the head of the caudate nucleus.
Nonenhanced CT scan of the head on a 56-year-old ...

Nonenhanced CT scan of the head on a 56-year-old woman with a change in mental status shows a nodular, moderately hyperattenuating lesion adjacent to the right lateral ventricle, within the head of the caudate nucleus.

Intravenously contrast-enhanced CT scan of the he...Media file 2: Intravenously contrast-enhanced CT scan of the head of the patient shown in Image 1 demonstrates a uniformly attenuating, enhancing mass lesion adjacent to the right lateral ventricle and ependymal enhancement in the frontal horns of the lateral ventricles.
Intravenously contrast-enhanced CT scan of the he...

Intravenously contrast-enhanced CT scan of the head of the patient shown in Image 1 demonstrates a uniformly attenuating, enhancing mass lesion adjacent to the right lateral ventricle and ependymal enhancement in the frontal horns of the lateral ventricles.

Nonenhanced head CT scan of a 38-year-old African...Media file 3: Nonenhanced head CT scan of a 38-year-old African American patient with HIV infection shows 2 bilateral, parietal, white matter lesions with central low attenuation and surrounding vasogenic edema.
Nonenhanced head CT scan of a 38-year-old African...

Nonenhanced head CT scan of a 38-year-old African American patient with HIV infection shows 2 bilateral, parietal, white matter lesions with central low attenuation and surrounding vasogenic edema.

Axial gadolinium-enhanced T1-weighted MRI in the ...Media file 4: Axial gadolinium-enhanced T1-weighted MRI in the same patient seen in Image 3 reveals the rim-enhancing lesions typical of HIV infection.
Axial gadolinium-enhanced T1-weighted MRI in the ...

Axial gadolinium-enhanced T1-weighted MRI in the same patient seen in Image 3 reveals the rim-enhancing lesions typical of HIV infection.

Sagittal T1-weighted contrast-enhanced MRI reveal...Media file 5: Sagittal T1-weighted contrast-enhanced MRI reveals 2 rim-enhancing lesions in this patient with HIV infection (same patient as in Images 3-4). The lesions extend to involve the corpus callosum.
Sagittal T1-weighted contrast-enhanced MRI reveal...

Sagittal T1-weighted contrast-enhanced MRI reveals 2 rim-enhancing lesions in this patient with HIV infection (same patient as in Images 3-4). The lesions extend to involve the corpus callosum.

More on Brain, Lymphoma

Overview: Brain, Lymphoma
Imaging: Brain, Lymphoma
Follow-up: Brain, Lymphoma
Multimedia: Brain, Lymphoma
References
Further Reading

References

  1. Greenberg JO. Cerebral lymphoma. In: Adams RD. Neuroimaging: A Companion to Adams and Victor's Principles of Neurology. McGraw-Hill;1995:418-9.

  2. Lenhard RE Jr, Osteen RT, Gansler T. Cancer of the central nervous system and pituitary gland. Clin Oncol. 2001;680-1.

  3. Paulus W, Jellinger K, Morgello S. Malignant lymphoma in WHO classification of tumors. Pathology and genetics. In: Kleihues and CaVenee, eds. Tumors of the Nervous System. Vol 1. Oxford: W.K. Press Lyon. Who & Oxford Univ Press;2000.

  4. Sheikh B, Siqueira E. Primary lymphoma of the central nervous system. Br J Neurosurg. 1994;8(4):427-32. [Medline].

  5. Gerstner E, Batchelor T. Primary CNS lymphoma. Expert Rev Anticancer Ther. May 2007;7(5):689-700. [Medline].

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  17. Hongsakul K, Laothamatas J. Computer tomographic findings of the brain in HIV-patients at Ramathibodi Hospital. J Med Assoc Thai. Jun 2008;91(6):895-907. [Medline].

  18. Cordoliani YS. Primary cerebral lymphoma in patients with AIDS: MR findings--17 cases. AJR Am J Roentgenol. 1992;159:841-7.

  19. Kosaka N, Tsuchida T, Uematsu H, Kimura H, Okazawa H, Itoh H. 18F-FDG PET of common enhancing malignant brain tumors. AJR Am J Roentgenol. Jun 2008;190(6):W365-9. [Medline].

  20. Huang Z, Zuo C, Guan Y, Zhang Z, Liu P, Xue F, et al. Misdiagnoses of 11C-choline combined with 18F-FDG PET imaging in brain tumours. Nucl Med Commun. Apr 2008;29(4):354-8. [Medline].

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  22. Ekenel M, Iwamoto FM, Ben-Porat LS, Panageas KS, Yahalom J, Deangelis LM, et al. Primary central nervous system lymphoma: The role of consolidation treatment after a complete response to high-dose methotrexate-based chemotherapy. Cancer. Sep 1 2008;113(5):1025-31. [Medline].

Further Reading

Neurologic complications in HIV-infected children and adolescents.
New York State Department of Health.  2003 Mar.  19 pages.  NGC:003047

Long-term follow-up guidelines for survivors of childhood, adolescent, and young adult cancers. Sections 6-37: chemotherapy.
Children's Oncology Group.  2003 Sep (revised 2006 Mar).  37 pages.  NGC:005598
 
Long-term follow-up guidelines for survivors of childhood, adolescent, and young adult cancers. Sections 38-91: radiation.
Children's Oncology Group.  2003 Sep (revised 2006 Mar).  74 pages.  NGC:005599
 
(1) Neoplastic complications of HIV infection. (2) July 2007 addendum.
New York State Department of Health.  2007 Jul.  19 pages.  NGC:005840

Keywords

brain lymphoma, brain neoplasm, brain tumor, malignant lymphoma, reticulum cell sarcoma, histiocytic lymphoma, microglioma, Wiskott-Aldrich syndrome, x-linked immunodeficiency, immunoglobulin A deficiency, severe immunodeficiency syndrome, CNS lymphoma, central nervous system lymphoma, non-Hodgkin B-cell tumors, Burkitt lymphoma, T-cell lymphoma in human T-cell lymphotropic virus type 1 disease, HTLV-1

Contributor Information and Disclosures

Author

Djamil Fertikh, MD, Attending Physician, Division of Radiology, Association of Alexandria Radiologists
Djamil Fertikh, MD is a member of the following medical societies: American College of Radiology, American Medical Association, and Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

Christian E Artman, MD, Staff Physician, Department of Diagnostic Radiology, Mercy Catholic Medical Center
Disclosure: Nothing to disclose.

Michael L Brooks, MD, JD, FCLM, Clinical Associate Professor of Radiology, Philadelphia College of Osteopathic Medicine; Director of Neuroradiology, Mercy Diagnostic Imaging, Department of Radiology, Mercy Fitzgerald Hospital
Michael L Brooks, MD, JD, FCLM is a member of the following medical societies: American College of Legal Medicine, American College of Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, and American Society of Spine Radiology
Disclosure: Nothing to disclose.

Medical Editor

Hugh J F Robertson, MD, DMR, FRCPC, FRCR, FACR, Professor Emeritus of Radiology, Professor of Clinical Radiology, Louisiana State University Health Sciences Center, New Orleans; Clinical Professor of Radiology, Tulane University School of Medicine; Active Staff, Department of Radiology, University Hospital
Hugh J F Robertson, MD, DMR, FRCPC, FRCR, FACR is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Neuroradiology, American Society of Spine Radiology, Louisiana State Medical Society, Orleans Parish Medical Society, Radiological Society of North America, Royal College of Physicians and Surgeons of Canada, Royal College of Radiologists, and Royal Society of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

James G Smirniotopoulos, MD, Professor of Radiology, Neurology, and Biomedical Informatics, Chairman, Department of Radiology and Radiological Sciences, Uniformed Services University of the Health Sciences
James G Smirniotopoulos, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Head and Neck Radiology, American Society of Neuroradiology, American Society of Pediatric Neuroradiology, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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