Calcified cerebral metastases in treated breast cancer

Case contributed by Dr Chris O'Donnell

Presentation

Long standing treated metastatic right breast cancer. Now has a right hemiparesis.

Patient Data

Age: 50 years
Gender: Female

Right mastectomy on 3D volume rendered image.

Dense punctate calcification on the lateral scout view correlate with multiple calcified mass lesions throughout the brain.

In addition, there is a heavily calcified left frontal meningioma with associated skull vault hyperostosis.

Calcification is not seen, but MRI shows these parenchymal lesions to be predominately cystic with minor rim enhancement (not appreciated on CT). Additional typical left frontal extra-axial meningioma with thickened skull vault.

Case Discussion

Calcified cerebral mets are rare. The major differential diagnosis is parasitic disease ie cysticercosis. This patient has not travelled and has disseminated (treated) breast malignancy. The meningioma is incidental albeit heavily calcified and associated with hyperostosis.

PlayAdd to Share

Case information

rID: 27671
Published: 13th Feb 2014
Last edited: 24th Sep 2018
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.