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Cerebral metastases (renal cell carcinoma)

Case contributed by Dr Varun Babu


Known treated renal cell carcinoma patient with headache and intermittent fever

Patient Data

Age: 60 years
Gender: Male

Intra axial grey white matter junction mass lesions seen in left frontal and right parietal lobes. Lesions are T1 hypointense, T2 and FLAIR hyperintense, mild diffusion restricted and showing intense gadolinium enhancement. Areas of T1 hyperintensity with blooming on T2* also seen suggestive of hemorrhage. Moderate vasogenic edema seen in right parietal lobe around the lesion causing mild effacement of ipsilateral lateral ventricle. No brain stem or cerebellar lesions. 

Case Discussion

Hemorrhagic hypervascular metastases are typical of few organs - kidneys, thyroid, neuroendocrine tumors. These are typical imaging findings of brain metastases in a known renal cell carcinoma patient. 

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Case information

rID: 55606
Published: 17th Sep 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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