Calcified cerebral metastases: 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
Gender: Female

Right mastectomy. Dense punctate calcification on the lateral scout view with multiple calcified mass lesions throughout the brain as well as a heavily calcified left frontal meningioma with overlying 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.

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Case information

rID: 27671
Case created: 13th Feb 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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