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Congress: ECR25
Poster Number: C-11273
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-11273
Authorblock: P. B. Hongal, M. Sheekey, H. Jaber, M. Wheeler; Cardiff/UK
Disclosures:
Prateek Basawaraj Hongal: Employee: NHS Wales
Margaret Sheekey: Employee: NHS Wales
Hisham Jaber: Consultant: NHS Wales
Matthew Wheeler: Consultant: NHS Wales
Keywords: CNS, Neuroradiology brain, CT, MR, Education, Neoplasia
Background
  • Posterior cranial fossa tumours are often linked to paediatric cases but remain a significant proportion of adult intracranial neoplasms, with high risk due to the confined space.
  • The region contains critical structures (cerebellum, brainstem, ventricular system, vascular elements), making even small lesions potentially serious.
  • Common tumours include ependymomas, haemangioblastomas, metastases, pilocytic astrocytomas, cavernomas, and epidermoid cysts, each with distinct MRI features.
  • Overlapping imaging characteristics and mass effect complicate diagnosis, highlighting the need for specialised imaging techniques such as DWI, GRE/SWI, MR spectroscopy, and contrast-enhanced studies.
  • Accurate characterisation guides treatment options, prognosis, and surgical planning ensuring optimal patient management.
GALLERY