Cerebral metastases - small cell lung cancer

Case contributed by Frank Gaillard
Diagnosis almost certain

Presentation

Elderly patient with increasing headache.

Patient Data

Age: Elderly

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Selected non-contrast CT images demonstrate multiple supra and infratentorial cystic lesions with scant surrounding edema.

Selected MRI images demonstrate the cystic lesions to have peripheral enhancement, minimal surrounding edema, and no central diffusion restriction. They are most consistent with cystic cerebral metastases.

Case Discussion

This patient had known (histologically confirmed) small cell carcinoma of the lungs. CT and MRI demonstrates multiple cystic cerebral metastases.

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