Table 2.
Characteristic features | ||||
---|---|---|---|---|
T1 | T2/T2 FLAIR (Fluid attenuated inversion recovery) | DWI | Post contrast | |
Epidermoid cyst | Isointense to CSF | Heterogeneous signal from isointense to intensity higher than CSF | Restriction on DWI: hyperintense, similar ADC (Apparent diffusion coefficient) values compared to adjacent brain parenchyma | Peripheral enhancement |
Lymphangioma | Isointense to brain parenchyma | Hyper intense with occasional multiple fluid: fluid levels and internal septations | Focal areas of restricted diffusion | Marginal and septal enhancement and a variable solid component enhancement |
Meningioma | Isointense to hypointense compared to the optic nerve | Mildly hyperintense compared to the optic nerve | Restriction and ADC value vary according to the histological form | Homogeneous enhancement |
Glioma | Hypointense heterogeneous with cystic and solid components. | hyperintense centrally with a thin low-signal at the periphery representing the dura. | Variable intensity and ADC values | Variable enhancement |
Tuberculoma | Isointense to grey matter ± central hyperintensity representing caseation. | Isointense to grey matter ± a central hypointensity representing gliosis and abundant monocytes infiltration, surrounded by hyperintense T2/T2 FLAIR vasogenic edema. | Central low signal but if liquid necrosis is present centrally, may be high signal. | Usually appears as ring-enhancement. |
Hematoma | Intermediate signal at hyperacute period. | Hyperintense at hyperacute period. Hypointense at chronic period. | Might be bright at hyperacute period. | Peripheral enhancement around the non-enhancing clot may be visible. |
Orbital varix | Hypointense | Hypointense | None | Matches other veinous structures. |
DWI: diffusion-weighted imaging; CSF: cerebro-spinal fluid.