Patient with Intra-cranial

mass.

Q1. Diagnosis Please

3.1a. Pre-contrast Axial T1 Wtd MRI 3.1b. Post-contrast Axial T1 Wtd MRI

3.1c. Post-contrast Coronal T1 Wtd MRI 3.1d. Post-contrast Sagittal T1 Wtd MRI
 Patient with Intra-cranial
mass.

Q2. Diagnosis Please

3.2a. Pre-contrast Axial T1 Wtd MRI 3.2b. Post-contrast (C+) Axial T1 Wtd MRI

3.2c. Coronal T1 Wtd MRI (C+) 3.2d. Sagittal T1 Wtd MRI (C+) 3.2e. Axial CT of the brain (bone windows)
3.3a. Pre-contrast Axial T1 Wtd MRI 3.3b. Axial T1 Wtd MRI (C+) 3.3c. Coronal T1 Wtd MRI (C+)

Patient with Intra-cranial

mass.

Q3. Diagnosis Please

 Patient with Intra-cranial
mass.

Q4. Diagnosis Please

3.4a. Post-Contrast (C+) Axial T1 Wtd MRI 3.4b. Coronal T1 Wtd MRI (C+) 3.4c. Coronal T1 Wtd MRI (C+)
 Match the following intracranial tumors shown in figs 3.1 to 3.4 to clinical symptomatology.

A. A patient with known

syndrome.

B. A patient with
numbness
involving the
extremities.

C. A patient with anosmia

Q5. Fig. 3.1 Q6. Fig. 3.2
and short term
memory loss.

D. A patients MRI of the

brain following a
car accident.

Answers:

Q5: Q7:

Q6: Q8:
Q7. Fig. 3.3 Q8. Fig. 3.4
 Match the following intracranial tumors shown in figs 3.1 to 3.4 to clinical symptomatology.

A. A patient with known

syndrome.

B. A patient with
numbness
involving the
extremities.

C. A patient with anosmia

Q5. Fig. 3.1 Q6. Fig. 3.2
and short term
memory loss.

D. A patients MRI of the

brain following a
car accident.

Answers:

Q5: C Q7: D

Q6: B Q8: A
Q7. Fig. 3.3 Q8. Fig. 3.4

3.1a. Pre-contrast Axial T1 Wtd MRI
3.1c. Post-contrast Coronal T1 Wtd MRI
3.1b. Post-contrast Axial T1 Wtd MRI
3.1d. Post-contrast Sagittal T1 Wtd MRI
60 year-old lady with
anosmia and short term
memory loss.
A well defined strikingly
enhancing (arrows) classic
meningioma is seen
involving the floor of the
anterior cranial fossa,
particularly involving the
PLANUM SPHENOIDALE
and OLFACTORY
GROOVE, finding
responsible for anosmia.
Diagnosis: Meningioma

3.2a. Pre-contrast Axial T1 Wtd MRI
3.2c. Coronal T1 Wtd MRI (C+)
3.2b. Post-contrast (C+) Axial T1 Wtd MRI
3.2d. Coronal T1 Wtd MRI (C+)
66 year-old lady presented
with numbness involving
the left upper and lower
extremities.
An enhancing (arrows) and
partially calcified
meningioma (red arrows in
A and E) involving the right
anterior-lateral frontal dura.
Diagnosis: Partially
calcified meningioma.
3.2e. Axial CT of the brain (bone windows)
3.3a. Pre-contrast Axial T1 Wtd MRI 3.3b. Axial T1 Wtd MRI (C+) 3.3c. Coronal T1 Wtd MRI (C+)

80 year-old lady had MRI A dural-based intensely

of the brain following a car
enhancing (arrows) Diagnosis: Falcine
accident.
meningioma arising from Meningioma
the right side of the falx.
3.4a. Post-Contrast (C+) Axial T1 Wtd MRI 3.4b. Coronal T1 Wtd MRI (C+) 3.4c. Coronal T1 Wtd MRI (C+)

44 year-old patient with long standing hearing loss and progressive loss of gait functions. Patient also
with multiple intracranial surgeries in the past and skin lesions including café-au-lait spots.

Multiple enhancing intracranial schwannomas involving the path of several cranial nerves particularly
involving the 7th and 8th nerve complex (red arrow) giving rise to deafness and large trigeminal nerves
(yellow arrows). Right tentorial meningioma (white arrow) and right faline meningioma (green arrow)
are also seen contributing to intracranial tumors in a patient with known NEUROFIBROMATOSIS Type
2.
Imaging Features of Classic Intracranial Meningiomas
• Most common intracranial benign tumor
• Dural-based intensely enhancing tumors along the dura, falx and tentorium
• Calcification within tumor and hyperostosis of adjacent bone (better seen by CT
imaging than by MR imaging), when seen, are hallmark for diagnosis of Meningioma.