Haemorrhagic cerebral metastases

Case contributed by Dr Ayush Goel

Presentation

K/C/O - Ca Breast (Post Op, Post RT, Post Chemo). Presented with right sided weakness followed by altered mental status.

Patient Data

Age: 45 yrs
Gender: Female
Modality: CT

Non-contrast

  • large (5.9 x 5.1 cm) intra-axial space occupying lesion with peripheral hyperdensity and central hypodensity in the left parieto-temporal lobe
  • with surrounding edema and mass effect - compressing left lateral ventricle, effacement of sulcal spaces and midline shift (about 14mm) to right.

Post-contrast and delayed 

  • shows peripheral enhancement

Case Discussion

Imaging features are consistent with cerebral metastases with peripheral haemorrhage and central necrotic area in a known case of breast cancer.

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Case Information

rID: 26687
Case created: 3rd Jan 2014
Last edited: 11th Mar 2016
Inclusion in quiz mode: Included

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