Innumerous brain metastases

Case contributed by Dr Craig Hacking


Worsening headache and nausea over a week. Hx of breast cancer.

Patient Data

Age: 30-35 years
Gender: Female

There are innumerable small enhancing lesions throughout both cerebral and cerebellar hemispheres and brainstem. Vasogenic oedema is seen associated with the larger of these lesions. Several of these lesions appear to be mildly haemorrhagic, particularly in the right tectal plate and right posterior frontal lobe. There is no hydrocephalus or midline shift. No acute cortical infarct or intracranial haemorrhage. Opacification of left mastoid air cells. The imaged paranasal sinuses are aerated. No suspicious bony lesion.


Substantial burden of intracranial metastatic disease.

Case Discussion

Great illustration of how a non contrast CT head can significantly downplay the extent of intracranial metastases.

PlayAdd to Share

Case information

rID: 42310
Case created: 15th Jan 2016
Last edited: 18th Aug 2017
Inclusion in quiz mode: Included

Updating… Please wait.

Alert accept

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

Alert accept Thank you for updating your details.