Case 3. Primary intracranial choriocarcinoma of the pineal region in an 11-year-old boy. A, Axial T1-weighted image demonstrates an isointense mass with some hyperintense areas (arrow). B, Axial T2-weighted image shows the heterogeneity of the lesion with marked hypointense (longer arrow), isointense, and hyperintense (shorter arrow) areas. C, Postcontrast axial T1-weighted image shows marked heterogeneous enhancement of the isointense and hyperintense areas seen on the T2-weighted image (shorter arrow) and no enhancement of the hypointense areas (longer arrow). D, CT image shows a heterogeneous tumor with hyperattenuation.