Presentation
A known case of stage IV metastatic non-small cell lung cancer on therapy, presented with delirium and confusion for CT brain to rule out metastasis.
Patient Data
Multiple intra-axial enhancing space-occupying lesions the largest seen in left parietooccipital lobe surrounded with vasogenic edema and the smaller one is noted at right occipital lobe with no significant surrounding edema suggestive of brain metastasis.
Another large lobulated outline and enhancing lesion seen mostly intraventricularly of the left lateral ventricle, resting on the left side of the septum pellucidum suggestive of intraventricular metastasis rather than primary lesion as central neurocytoma.
Enlarged and enhanced upper portion of the pituitary stalk in the suprasellar region could be having metastasis.
Case Discussion
Known case of stage IV metastatic non-small cell lung cancer on therapy, presented with delirium and confusion requested for CT brain to rule out metastasis and CT showed multiple brain space-occupying lesions as demonstrated above suggestive of intracerebral and intraventricular metastasis.
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