Cystic brain metastasis

Case contributed by Lana Rezan Pshtiwan
Diagnosis almost certain

Presentation

Breast cancer, surgically-treated 7 years ago, presented with altered memory and headache

Patient Data

Age: 45 years
Gender: Female
mri

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.

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