Interactive Transcript
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Here is yet another left-sided jugular tumor.
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And as we scroll the non-contrast and contrast
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enhanced images, down to the skull base,
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you see that this lesion is bright in signal intensity
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on the T1-weighted scan before contrast.
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However, it does show avid contrast enhancement.
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So this is another example of the so-called salt and
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pepper look with the bright and the dark signal
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intensity in the mass, even before contrast,
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secondary to the matrix of the lesion,
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as well as the flow voids of the vessels
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accounting for the pepper.
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And this lesion as well seems to grow into the
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distal-most portion of the sigmoid sinus, and then,
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as you can see, grows into the jugular vein,
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hence giving us the high likelihood that this
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represents a glomus jugulare tumor.
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When you have these glomus jugulare tumors,
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you really must look at the contralateral side, as
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well to look for any additional paragangliomas,
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be they glomus jugulare, glomus vagale,
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glomus tympanicum, or carotid body tumors.
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In this case, another left-sided,
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isolated glomus jugulare tumor.
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