We report on a young woman with a primary cerebral immunocytoma. Most prima
ry cerebral nervous system lymphomas (PCNSL) are highly malignant undiffere
ntiated B-cell tumours, there are few data on the clinical course, MRI and
spectroscopy findings of this rare PCNSL subtype. MRI revealed a radially e
nhancing tumour with mild perifocal oedema. MR spectroscopy indicated low c
ell turnover. Slow clinical progression, no significant changes with treatm
ent, and imaging findings were consistent with a low-grade malignant tumour
.