Unknown Case #2: Incidental Intraventricular Mass
A 20-year-old female presents with a 3 cm intraventricular mass associated with the septum pellucidum. This demonstrates heterogeneous signal on T2 weighted MRI with areas of cystic change. There is moderate contrast enhancement after administration of gadolinium and a few internal calcifications on CT. Imaging studies of the brain are otherwise unremarkable. Which of the following is true of the most likely diagnosis?
A. Follow-up at 6 months for presumed subependymoma is recommended
B. communicating hydrocephalus results from CSF overproduction
C. There is a strong association with seizure and skin tubers
D. This is a low grade (WHO grade II) neoplasm
E. The primary differential diagnosis is meningioma versus metastasis