Weekly Image Challenge – February 19, 2022

What is the most likely diagnosis in a 50 years old female, with history of treated breast CA?

  1. High-grade astrocytoma
  2. Ependymoma
  3. Hemangioblastoma
  4. Metastasis
  5. Choroid plexus tumor


Metastasis is correct. High-grade astrocytoma is a close differential but the history was against it. Ependymoma & choroid plexus tumors are intraventricular & occur at a younger age. Hemangioblastoma has a cystic component & an enhancing nodule.