PMC6076903_01
Noncontrast CT brain showed early hydrocephalus with a suspicion of a posterior fossa space occupying lesion.
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fig1
Noncontrast CT brain (Figure 1) showed early hydrocephalus with a suspicion of posterior fossa space occupying lesion.
Multiple cystic lesions in cerebellum with enhancing neural nodules and mild perilesional oedema suggestive of hemangioblastomas (central and peripheral lesions are indicated by red arrows).
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fig2
She was transferred to neurosurgical unit and contrast MRI brain (Figure 2) showed two multiloculated cystic lesions one in relation to the fourth ventricle and the vermis and the other lesion in the periphery of the left cerebellar hemisphere which were suspicious of cerebellar hemangioblastomas.
Well-defined avidly enhancing (190 HU) mass lesion 66 x 59 mm in the region of R/suprarenal gland. There is a centrally nonenhancing component suggestive of necrosis (red arrow). No evidence of metastasis.
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fig3
Retinal angioma (white arrow) with a dilated feeding vessel.
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Ophthalmology assessment revealed a lesion suggestive of a retinal hemangioblastoma (retinal angioma) on the right eye (Figure 4).