The patient is a 20-year-old male who hit his head and subsequently underwent cranial imaging which revealed evidence of a large ring-enhancing cystic 
lesion in the left frontal region. A portion of the lesion was heavily calcified. There was minimal surrounding edema. The appearance of the lesion was most 
consistent with a glioma. The patient underwent functional MRI imaging prior to surgery, which indicated that several speech areas were located adjacent to 
the lesion. Surgical procedure was an awake left frontal craniotomy and resection of tumor with VTI guidance, microscope microdissection and language and 
motor stimulation mapping.

Final pathology report of the lesion was inconclusive but suggestive of a pilocytic astrocytoma or other low-grade glioma.

