Small solid lateral cerebellar hemangioblastoma, in a patient with von Hippel Lindau syndrome

Small solid lateral cerebellar hemangioblastoma, in a patient with von Hippel Lindau syndrome. A small nodular enhancing lesion, with mild surrounding vasogenic edema, is noted in the right cerebellar hemisphere. The appearance on imaging is not specific for any one diagnosis, with metastatic disease likely first in terms of differential diagnosis, in the absence of clinical history. However, given the patient’s age (21), and known genetic disease (VHL), the overwhelming diagnosis should be that of a hemangioblastoma.

Small solid lateral cerebellar hemangioblastoma, in a patient with von Hippel Lindau syndrome

Part of the on-line supplement to Neuroradiology – The Essentials with MR and CT (© 2015)