Presentation
Breast cancer, surgically-treated 7 years ago, presented with altered memory and headache
Patient Data
Evidence of multiple variably sized bilateral enhancing cystic space-occupying lesions, mainly seen at grey-white matter junction, demonstrating internal high T2 signal, isointense T1 signal and partial suppression on FLAIR, with surrounding vasogenic edema. No restricted diffusion on DWI/ADC. The largest lesion located in the left parieto-occipital region shows a thick wall posteriorly with signal of hemorrhage.
Case Discussion
MRI findings are in keeping with cystic cerebral metastasis in a known case of invasive ductal carcinoma of the breast.