Brain metastases from breast carcinoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Headaches with altered level of consciousness in a patient treated for breast carcinoma.

Patient Data

Age: 40 years
Gender: Female
This study is a stack
Sagittal
T1
This study is a stack
Axial
FLAIR
This study is a stack
Coronal
T2
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
Coronal
T1 C+
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Info

Innumerable scattered enhancing intra-axial lesions of various sizes, disseminated in both cerebellar and cerebral hemispheres and brainstem with surrounding vasogenic oedema. Some of them show intrinsic high signal on T1 and low signal on GE sequences (haemorrhagic). The largest lesion is cystic, located in the left occipital region with peripheral enhancement with no restricted diffusion. Mild midline shift to right side.

Case Discussion

MRI features of innumerable enhancing intra-axial lesions with surrounding vasogenic oedema in a patient treated for breast carcinoma, most consistent with brain metastases.

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