Presentation
Right-sided weakness followed by altered mental status.
Patient Data
![](https://prod-images-static.radiopaedia.org/images/5478560/e506ff45e4b708299800f5df383f7f1eda2511564ea4163fb5e3fff8b63a3484_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/5478304/a0e86ff04c057fc5c8a003102e44dbe5ecb092dcfed0eddd49d0d101fe934ebc_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/5478418/3206078b49f4d23fdcfb06eacbf71912ea80ea0b952bc6d0ea111a5a860a63ea_thumb.jpeg)
![This study is a stack](/packs/stack-YQKLCKBI.gif)
![](https://prod-images-static.radiopaedia.org/images/5478560/e506ff45e4b708299800f5df383f7f1eda2511564ea4163fb5e3fff8b63a3484_big_gallery.jpeg)
Non-contrast
large intra-axial space-occupying lesion with peripheral hyperdensity and central hypodensity in the left hemisphere (fronto-parietal region, extending into corona radiata and internal capsule)
with surrounding edema and mass effect - compressing left lateral ventricle, effacement of sulcal spaces and midline shift (about 14mm) to right
Post-contrast and delayed
shows peripheral enhancement
Case Discussion
This patient had a history of Breast cancer treated surgically with post-op, chemoradiotherapy. Imaging features are consistent with cerebral metastases with peripheral hemorrhage and central necrotic area in a known case of breast cancer.