Cerebral tumor hemorrhage

Case contributed by Townsville radiology training
Diagnosis almost certain

Presentation

Metastatic melanoma of brain, and calvarium presents with fever, confusion and decreased GCS.

Patient Data

Age: 60
Gender: Male
ct

Hyperdense focus 8 x 16 mm consistent with acute haemorrahge in right temporal metastasis. Significant vasogenic edema in right parietotemporal region with effacement of sulci, lateral ventricle and midline shift of 7mm.

Uncal herniation with midbrain shift to left and asymmetry of quadrigeminal cistern.

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