55 yr old with stuffy nose. CT demonstrates a destructive mass centered in the olfactory recess with extension through the cribriform plate. MR shows avid enhancement of the invasive mass.
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#radres #NeuroRad #radtwitter #MedTwitter
Differential:
Sinonasal carcinoma (SCC, SNUC, adenocarcinoma)
Esthesioneuroblastoma
Lymphoma
Mets
Sinonasal carcinoma (SCC, SNUC, adenocarcinoma)
Esthesioneuroblastoma
Lymphoma
Mets
Answer: confirmed Esthesioneuroblastoma
Esthesioneuroblastoma presents as a destructive mass with intracranial extension and waist centered at the cribriform plate. Peritumoral cysts at the tumor-brain interface are classic though were not seen in this case.
Esthesioneuroblastoma presents as a destructive mass with intracranial extension and waist centered at the cribriform plate. Peritumoral cysts at the tumor-brain interface are classic though were not seen in this case.
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