Pleomorphic xanthoastrocytoma


This case which highlights the differential of a temporal lobe mass in a young patient. The differential on imaging is largely between a pleomorphic xanthoastrocytoma (although degree of edema is unusual), a ganglioneuroma and a pilocytic astrocytoma (position is atypical)

DNETs usually do not enhance so vividly. Other more aggressive gliomas (e.g. GBM) tend not to have such a homogeneously enhancing nodule and do not have evidence of bony re-modelling.