Hemorrhagic brain metastases

Case contributed by Dr Maxime St-Amant


Patient with known kidney malignancy. Rule out metastases.

Patient Data

Age: 72
Gender: Male

CT-scan shows multiple cortical - subcortical hypodensities in both hemispheres. In the opercular frontal and parietal region, some of these hypodensities contain a 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 hemorrhagicmetastases can be remembered using this mnemonic : 

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

  • M - melanoma
  • R - renal cell carcinoma
  • C - choricarcinoma
  • T - thyroid carcinoma, teratoma
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Case information

rID: 18942
Published: 28th Jul 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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