Presentation
Acute confusion. Known metastatic squamous cell carcinoma of the lung. Bloods unremarkable. Further metastases as cause for confusion?
Patient Data
Age: 70 years
Gender: Male
From the case:
Cerebral metastases - ependymal and parenchymal
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Bilateral supra and infratentorial parenchymal metastases.
Irregular multifocal ependymal thickening and enhancement of the lateral ventricles, more pronounced on the right.
Case Discussion
Advanced cerebral metastatic disease with a severe ependymal manifestation. This may seed into the spinal canal via the CSF causing drop metastases.
Lung and breast malignancies are the usual culprits.
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