Teaching NeuroImages: Brain mass with hilar adenopathy: The importance of histologic diagnosis
Neurology recent issues
A 30-year-old man presented with weeks of progressive headaches, imbalance, and aphasia. Brain MRI revealed an enhancing left frontal mass (figure 1, A and B). Chest imaging revealed mediastinal and hilar adenopathy (figure 1, C and D). Metastatic cancer was initially suspected, but pulmonary lymph node aspiration revealed sarcoidosis (figure 2A). Subsequent brain biopsy revealed glioblastoma (figure 2B).
Original Article: http://www.neurology.org/cgi/content/short/82/18/e161?rss=1
Júlio Pereira
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