Presentation
Acute headache and right-sided weakness, background of testicular choriocarcinoma
Patient Data
A ring-enhancing metastatic lesion in the posterior aspect of the left parietal lobe measures 25 x 22 x 21 mm (previously 20 x 17 x 18 mm).
Significant acute intracerebral hemorrhage is noted arising from the adjacent metastatic lesion in the posterolateral aspect of the left parietal lobe. The extent of the hemorrhage measures 33 x 22 x 25 mm in dimensions.
There is associated significant vasogenic edema. Mass effect includes effacement of the cerebral sulci and the posterior horn of the left lateral ventricle. There is a new right-sided midline shift measuring up to 3 mm. No evidence of transtentorial or cerebellar herniation. No hydrocephalus.
Subtle enhancement along the folia of the anterior aspect of the left cerebellar hemisphere is noted, which could represent leptomeningeal extension.
Unable to process the form. Check for errors and try again.