FINAL DIAGNOSE CASE-20

         Radiology case-20 (FB and Insta Post)

Final diagnose - Glioblastoma multiform (GBM) grade-IV)

🧠 Radiology Report: MRI Brain

Patient Information:
Name:.......
Age/Sex: 40-year-old Male
Study: MRI Brain with contrast

📌 Clinical Indication:

Altered sensorium /Chronic Headache / Seizure one time..

✅ Technique:

MRI brain performed in axial,  planes using T1, T2, and post-contrast sequences.

🔍 Findings:


  • A large heterogeneous ill-defined mass lesion is seen in the right occipito-parietal region (also involving splenium of corpus callosum).
  • The lesion shows heterogeneous T2/FLAIR hyperintensity, central necrosis, and irregular peripheral enhancement on post-contrast images.
  • Surrounding vasogenic edema extends into adjacent white matter with resultant mass effect:
    • Effacement of adjacent sulci
    • Compression of right lateral ventricle
    • Midline shift of ~X mm to the left
  • Involvement of corpus callosum ("butterfly glioma" pattern) is noted.
  • No intralesional hemorrhage or calcification seen.
  • No hydrocephalus or herniation seen.

🧾 Impression:

  • Large heterogeneously enhancing mass lesion in the right parieto-occipital region with central necrosis and extensiveg edema, showing mass effect and midline shift — likely Glioblastoma Multiforme (GBM, WHO Grade IV).
  • Corpus callosum involvement suggests aggressive infiltrative nature.
  • Recommend histopathological correlation and neurosurgical consultation.

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