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Radiology Nervous System b809b330

This classical "Ice-cream cone" appearance of this intensely enhancing lesion at the right CP angle recess suggests:

A
Epidermoid cyst
B
Arachnoid cyst
C
Acoustic schwannoma
D
High grade glioma
High-Yield Explanation
Ans. C Acoustic schwannomaLarge chunk of tumour in the CP angle recess is the ice-cream whereas extension into internal auditory canal forms the cone. Bilateral Acoustic schwannomas suggest - Neurofibromatosis type 2 - MISME syndrome - Multiple Inherited Schwannoma, Meningioma and Ependymoma. The various CP angle masses are schwannoma, epidermoid, dermoid, meningioma.

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