Brain metastases from renal cell carcinoma

Case contributed by Dr Bruno Di Muzio

Presentation

Patient with a palpable mass on the left abdominal flank. Progressive left limb weakness.

Patient Data

Age: 70-year-old
Gender: Male

MRI Brain

Modality: MRI

MRI demonstrates multiple cerebral nodules with ring enhancement some of which have haemorrhagic components. Prominent mass effect and vasogenic oedema surrounding the biggest lesions.

Case Discussion

This patient was proven to have a left renal cell carcinoma metastatic to the abdominal lymph nodes and lungs. The MRI study confirmed multiple cerebral nodules with ring enhancement, some of them with haemorrhagic components.

In the present clinical context, brain metastases are the most likely diagnosis, with no differential.

The haemorrhagic component of some metastases is in keeping with the renal cell carcinoma as a primary tumour.

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Case Information

rID: 42571
Case created: 28th Jan 2016
Last edited: 6th Feb 2016
Inclusion in quiz mode: Included

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