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Multiple brain metastases from bronchogenic carcinoma

Case contributed by: Dr Saeed Soltany Hosn

Presentation:

A 69-year-old man with a history of bronchogenic carcinoma presented with acute onset seizure

Patient Data:

Age: 69-year
Gender: Male
Race: Caucasian

Single slice CT scan shows a large vividly enhancing space occupying lesion with surronding vasogenic oedema in the right frontoparietal region with resultant midline shift.

There is a large lobulated non homogenous mass in the right frontal lobe associated with gross surronding oedema and midline shift. Following intravenous administration of gadolinium the mass demonstrates intense heterogenous contrast enhancement.The margins of this mass appearse well defined on the Tl-weighted postgadolinium sequence.There are 10 other enhanced foci in cerebral and cerebellar hemispheres.

Case Discussion:

Multiple cerebral and cerebellar metastases from lung carcinoma in a 69-year-old man. 

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