Cystic cerebral metastases

Case contributed by Dr Ayush Goel

Presentation

Headache and right sided hemiparesis

Patient Data

Age: 36 years
Gender: Female
CT

Ring enhancing cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesional vasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.

Case Discussion

CT findings are consistent with cystic cerebral metastases in a known case of oesophageal carcinoma.

Differential diagnosis for this CT appearance:

MRI (not shown) screening was performed:

  • DWI: no restriction in the center of lesion
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Case information

rID: 32034
Case created: 10th Nov 2014
Last edited: 30th Aug 2015
Inclusion in quiz mode: Included

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