PMC9990811_01
Axial (a), coronal (b), and sagittal (c) T1-weighted magnetic resonance imaging with gadolinium images showing a left cerebellar lesion with a maximum diameter of 43 x 40 mm, with inhomogeneous enhancement, tentorial attachment and "dural tail" sign, highly suggestive for left tentorial meningioma.
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F1
The contrast brain magnetic resonance imaging (MRI) showed a large left cerebellar lesion (i.e. 45 mm x 40 mm x 24 mm) that inhomogeneously enhanced with an accompaning tentorial"dural tail" highly consistent with a meningioma [Figures 1a-c].
Postoperative axial (a), sagittal (b), and coronal (c) T1-weighted magnetic resonance imaging with gadolinium images documented a gross total resection of the lesion.
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F2
The patient was discharged in the postoperative day 7 and underwent brain MRI that documented a complete resection of the lesion [Figures 2a-c].
Axial (a), sagittal (b), and coronal (c) computed tomography vertebral and abdomen scans showing a hypodense "dumbbell" T10-T11 lesion of about 26 mm involving the right vertebral pedicle and the right T10 lamina.
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F3
T10-T11 lesion (i.e., 26 mm) involving the right vertebral pedicle/T10 lamina [Figures 3a-c]. The thoracic MRI confirmed the presence of a hyperintense lesion with the T10 vertebral body accompanied by scalloping [Figures 4a and b].
Sagittal (a) and axial (b) thoracic spinal T2-weighted magnetic resonance imaging sequences confirmed the presence of a hyperintense extradural lesion determining also T10 vertebral body scalloping.
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F4
T10-T11 lesion (i.e., 26 mm) involving the right vertebral pedicle/T10 lamina [Figures 3a-c]. The thoracic MRI confirmed the presence of a hyperintense lesion with the T10 vertebral body accompanied by scalloping [Figures 4a and b].
Intraoperative images showing the incised capsule of the cyst (a), marsupialization and removal of hemorrhagic lesion with blood clots using a Yasargil forceps (b and c).
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F5
The capsule was incised, marsupialized, and removed, along with resection of the hemorrhage [Figures 5a-c]. The 48-h postoperative MR confirmed complete lesion resection [Figures 6a and b].
Postoperative sagittal (a) and axial (b) T1-weighted magnetic resonance imaging sequences documented a complete removal of the lesion.
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F6
The capsule was incised, marsupialized, and removed, along with resection of the hemorrhage [Figures 5a-c]. The 48-h postoperative MR confirmed complete lesion resection [Figures 6a and b].