Brain metastases (breast carcinoma)

Case contributed by Varun Babu
Diagnosis almost certain

Presentation

Giddiness and one episode of loss of consciousness. Suspected transient ischemic attack.

Patient Data

Age: 45 years
Gender: Female
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
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Sagittal
T1
This study is a stack
Axial T1
C+ fat sat
This study is a stack
T1 C+
fat sat
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Info

Well defined T1 hypointense, T2 hyperintense, intensely enhancing intra-axial lesions with perilesional vasogenic edema are seen in grey white matter junction of left frontal and parietal lobes, left thalamus, right paramedian dorsal midbrain and pons, right external capsule and superior temporal gyrus, left half of cerebellar vermis and right cerebellar hemisphere. 

No vascular thrombosis or features of raised intracranial pressure. No acute infarction or acute intracranial hemorrhage. 

Case Discussion

Brain secondaries are becoming more common thanks to better survival rates of cancer patients. Approximately 10-16 % of patients metastasize to brain, around 50 % of HER2 positive breast cancers.

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