Cerebral metastases from gastric cancer
Complaints of headaches.
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Multiple foci of hyperintense signal (T2) in the cerebral hemispheres and cerebellum surrounded by a perifocal edema with compression of right lateral ventricle. Tumors quickly and homogeneously enhanced by contrast agent. In left frontal lobe we see similar node with hemorrhagic content.
The patient was operated on for gastric carcinoma. Considering the history of the patient the most likely diagnosis is cerebral metastasis.