Fig. 4From: Are we over treating Pineal Parenchymal tumour with intermediate differentiation? Assessing the role of localised radiation therapy and literature reviewT1-weighted MRI scan after intravenous Gadolinium a shows patchy enhancement of mass in pineal region and obstructive hydrocephalus. No evidence of local invasion. b Single-voxel MR spectroscopy (TE = 144) shows moderate elevation of Choline, reduction in NAA and inverted lactate doubletBack to article page