Presentation
Headaches and walk disturbance in a patient treated for lung cancer.
Patient Data
Age: 60 years
Gender: Male
From the case:
Brain metastases from lung cancer
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/135515/annotated_viewer_json?iframe=true\u0026lang=us"}
Three intra-axial cerebellar masses, the largest on the right, eliciting a low signal on T1, a slightly high signal on T2 and FLAIR with restricted diffusion of the solid non-necrotic component and ring enhancement on the postcontrast sequence. No calcification or hemorrhagic component seen on GE. Moderate surrounding vasogenic edema with a mass effect on the 4th ventricle and brainstem.
Case Discussion
The MRI features of enhancing intra-axial cerebellar lesions in a patient treated for lung cancer are most consistent with brain metastases.