School ager with several days of vomiting

CT and MRI of cerebellar astrocystoma
Axial CT without contrast of the brain (above) shows moderate dilation of the lateral, third and fourth ventricles. Axial T2 MRI without contrast of the brain (below left) shows a round focus of bright signal in the posterior medulla that on the sagittal T1 MRI post contrast (below right) shows it to be a non-enhancing mass in the floor of the fourth ventricle causing ventricular outlet obstruction.

The diagnosis was cerebellar astrocytoma.