Cerebral metastases from lung cancer

Case contributed by A.Prof Frank Gaillard


Presenting to emergency department with nausea and vomiting and a seizure.

Patient Data

Age: 50 years
Gender: Female

Axial sequential acquisition through the brain without intravenous contrast.

There is a hyperdense lesion (26 x 22 mm) with central hypodensity in the posterior left frontal lobe that demonstrates contrast enhancement with a small amount of surrounding hypodensity. There is enhancement of the adjacent thickened dura and the bone is thinned, mottled and irregular.

Post contrast administration. there is a further enhancing lesion in the anterior right middle cranial fossa that extends through the optic canal to run along the right lateral orbital wall. There is no clear fat plane between the lateral rectus and the lesion. The underlying bone is thickened and sclerotic.

Multiple other vague areas of bony sclerosis are noted in keeping with widespread metastatic disease.

No intra or extra-axial hemorrhage is seen. Ventricles and sulci are within normal limits for age. 

Case Discussion

This patient has known metastatic lung cancer, and demonstrates how lung metastases can cause bony sclerosis and hyperdense cerebral metastases. 

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Case information

rID: 20897
Published: 19th Dec 2012
Last edited: 1st May 2019
Inclusion in quiz mode: Included

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