Hemorrhagic brain metastases

Case contributed by Maxime St-Amant
Diagnosis probable


Patient with known kidney malignancy. Rule out metastases.

Patient Data

Age: 70 years
Gender: Male



CT-scan shows multiple cortical-subcortical hypodensities in both hemispheres. In the opercular frontal and parietal region, some of these hypodensities contain hyperdense foci, compatible with hemorrhage. The patient was known for renal cell carcinoma and this is a typical example of hemorrhagic metastases.

Case Discussion

Primary malignancies responsible for hemorrhagic metastases can be remembered using this mnemonic : 

Primary malignancies responsible for hemorrhagic metastases (MR CT BB):

  • M - melanoma
  • R - renal cell carcinoma
  • C - choriocarcinoma
  • T - thyroid carcinoma, teratoma

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.