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T2 FLAIR Mismatch Sign, Astrocytoma – 28 y/o Male

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Here is another example.

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A 28-year-old male patient presenting with headaches,

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had this large tumor, very well-defined, homogeneously

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bright on T2-weighted images in the right frontal lobe,

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shows dark signal on the FLAIR images.

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Majority of the tumor,

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the central part of the tumor, showing you dark signal,

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loss of signal on the FLAIR images,

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except this peripheral thin rim of bright signal

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and again, not showing contrast enhancement,

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as you can see on the post-contrast images.

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And showing you a rather facilitated diffusion on

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the diffusion-weighted images. And again,

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this is another example of a classic T2

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FLAIR mismatch sign,

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as we now know is...

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and proven to be an IDH-mutated,

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non-correlated 1P/19Q co-relation was found,

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and an IDH-mutated astrocytoma.

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Description

Faculty

Rajan Jain, MD

Professor of Radiology and Neurosurgery

New York University Grossman School of Medicine

Tags

Oncologic Imaging

Neuroradiology

Neoplastic

MRI

Brain

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