Review the Learning Outcomes, Hx, PE and Labs, and begin the module with your Provisional Diagnosis. Keep hitting "Next" to move through the module.
- Articulate your relationship with the consulting diagnostic radiologists in the evaluation of a patient with a headache.
- Review the DDx considerations in a patient with a headache.
- Identify the spectrum of imaging findings in appropriate modalities for evaluating patients with a headache.
What is your assessment of the likely acuity for this patient?
First Imaging Study
What is the first imaging study you will order?
Pertinent Imaging Observations
Click on the links below to view images from the study, and assess these key findings as best you can.
MRI brain with and without contrast
There is a lesion that predominantly involves which part of the corpus callosum?
The pattern of the peripheral enhancement is:
Watch our video
Second Imaging Study
What is the next imaging study you will order?
What is your Diagnosis now that you have seen the imaging results?
Initially, you selected and we suggested acuity.
Has your concern for this patient changed?
Assessment and Plan
Please provide your assessment and plan for this patient
- Glioblastomas, which are high-grade gliomas, are the most common primary brain tumors in adults, with a median age of onset of approximately 55 to 60.
- Glioblastomas are highly malignant, rapidly progressive brain tumors. The patient’s presentation will depend on the location of the tumor.
- Imaging classically shows a heterogeneous lesion with central necrosis and irregular peripheral enhancement that leads to vasogenic edema. Sometimes, there is a “butterfly configuration” as it crosses the midline through the corpus callosum.
Socioeconomic Factors: Higher SES is strongly associated with increased risk of glioblastoma.
That's the end of the module! Once you've reviewed the video(s), you can click here for another case challenge.