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British Journal of Radiology (2004) 77, 691-693
© 2004 British Institute of Radiology
doi: 10.1259/bjr/26882389

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Haemorrhage within an intramedullary astrocytoma presenting with a mild clinical course and a fluid–fluid level on MRI

S Abdi, MB ChB, MRCS, FRCR and R K Lenthall, MB BS, MRCP, FRCR

Department of Radiology, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH, UK



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Figure 1. T1 weighted image of the cervical spine demonstrates an intramedullary cystic lesion with fluid–fluid level (arrowheads). The supernatant has intermediate/high signal intensity with the subnatant being of lower signal. The solid component of the tumour (arrows) has lower signal intensity than the normal cord.

 


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Figure 2. T2 weighted image showing high signal supernatant and intermediate signal subnatant. The solid component of the lesion has areas of high signal intensity within it (arrow). Note the low signal area within the syrinx, which represents haemosiderin deposition (hollow arrow).

 


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Figure 3. T1 weighted image following administration of contrast medium (gadopentate dimeglumine) shows avid enhancement of the solid component of the lesion (arrow).

 





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