Pediatric Patient Presents with Double Vision

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- Heterogeneously enhancing mass within the 4th ventricle, creating significant mass effect within the posterior fossa. 
- Causing hydrocephalus with dilatation of the fourth ventricle as well as transependymal edema at the frontal and occipital horns
- Associated crowding at the foramen magnum with inferior migration of the cerebral tonsils
- Mass contains small internal cystic necrosis and scattered subcentimeter calcifications
- Mass demonstrates areas of restricted diffusion and heterogeneous postcontrast enhancement

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Pediatric patient presents with double vision. What is the most likely diagnosis?

Image IQ Quiz: Pediatric Patient Presents with Double Vision