Cerebral melanoma metastases

Case contributed by Dr Brendon Friesen

Patient Data

Age: 50
Gender: Male
MRI

Multiple intra-axial lesions centered at grey-white junction, with vasogenic edema. The lesions demonstrate intrinsic T1 hyperintensity, heterogeneous enhancement, T2/FLAIR iso/hypointensity and blooming on SWI.

The T1 and SWI signal characteristics could be due to melanin and/or blood products.

Case Discussion

Multiple enhancing intra-axial lesions with instrinsic T1 hyperintensity and blooming (SWI). 

These signal characteristics could be due to melanin and/or blood products.

Cerebral metastatic melanoma was histologically proven.

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