Synchronous pineal and suprasellar germinoma
Headache and poor vision.
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Non-enhanced images show hyperdense lesions (due to hyper hypercellularity) in the pineal and suprasellar regions. Both the lesions show intense homogenous post contrast enhancement. Large area of cystic formation is seen in the suprasellar region.
In this age group, this pattern of lesion suggests a germ cell tumor. About 5% to 10% of all germ cell tumors are found simultaneously in both the pineal and suprasellar region.
Unfortunately, no histology is available to confirm the diagnosis.