Cranial vault metastases (neuroblastoma)
Unwell-looking child, presented with proptosis and headache.
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Multiple abnormal signal intensity lesions scattered through out the skull bones also involving the sphenoid bone and extraocular intraorbital soft tissues with resulting proptosis.
Diffuse dural enhancement and thickening with some evidence of leptomeningeal enhancement.
Abdominal ultrasonography revealed a large heterogeneous, solid mass-lesion with specks of calcification involving right supra-renal region which made the features characteristic for cranial metastases from neuroblastoma.