British Society of Neuroradiologists Grand Round — Paediatric Neuroradiology: Brief Communication

Focal central areas of restricted diffusion are seen as evident by low apparent diffusion coefficient value (open redarrow). [1] On retrospective radiological review, however, thorough analysis of the lesion morphology reveals two characteristic diagnostic features[2]: finger-like extensions of fungal hyphae and paramagnetic elements of melanin production (Figure 3). [...]reliance on MR spectroscopy and perfusion imaging may not be useful in every case to differentiate between malignancy from aggressive fungal infection. [...]of our experience presenting this case at the BSNR Grand Round, we have gained new knowledge and skills in developing effective and systematic diagnostic pathways while avoiding radiological pitfalls.