Bronchogenic carcinoma metastasis

Case contributed by Dr Hanisalam

Presentation

60 year old male patient presented with altered mental status and headache of recent onset.

Patient Data

Age: 60
Gender: Male
Modality: MRI
Modality: CT
Modality: X-ray

Case Discussion

CT of the brain performed on-call revealed an enhancing intra-axial lesion. The possibility of a primary brain lesion was entertained. Given the patients age, GBM was the primary consideration.

Brain MRI was performed the next day, and the differential diagnosis did not change, with GBM  high on the list.

The patient developed severe shortness of breath, CTPA was performed and revealed no PE, however, a large mass was noted. Pathologically proven bronchogenic carcinoma.

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Case Information

rID: 9286
Case created: 29th Mar 2010
Last edited: 30th Nov 2015
Inclusion in quiz mode: Included

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