Presentation
Follow-up for a known brain mass in an asymptomatic patient.
Patient Data
There is a midline lobulated mass up to 24 mm within the hypothalamus with heterogeneous high T2 signal and peripheral hemosiderin deposition.
Typical popcorn appearance on the gradient echo sequence.
Non-specific white matter foci within frontal lobes.
Remainder of brain looks unremarkable.
Case Discussion
The patient had an unexplained episode of anemia 10 years ago, brain MRI revealed a hypothalamic mass with hemosiderin deposition, stable in time.
Despite the mass' location in the suprasellar region, the patient is asymptomatic.
This is a rare location for a cavernous venous malformation; the differential diagnosis of craniopharyngioma was excluded due to stability in size mass.
Further follow-up only, since the mass is asymptomatic.