Pilomyxoid xanthoastrocytoma (PXA) : MRI

History– A 14 yr female c/o headache since 2 months. 2 episodes of seizures in last one weekFindings- An ill-defined soild-cystic mass is seen in the left parietal lobe with surrounding mild to moderate edema. The cystic component shows restriction of diffusion and rim enhancement. The solid component shows avid postcontrast enhancementFinal Diagnosis- Pilomyxoid xanthoastrocytoma (PXA)Golden PointDDs of cyst with mural nodule-Pilocytic astrocytoma, PXA, ganglioglioma, hemangioblastoma, craniopharyngioma Famous Radiology Blog by Dr Sumer Sethi www.sumersethi.com
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs