Presentation
Female with previously treated breast cancer, presenting with headache and speech disturbance.
Patient Data
Age: 65 years
Gender: Female
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Some gyral enhancement in the right hemisphere. Multiple mixed bone metastases.
From the case:
Leptomeningeal metastases
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Leptomeningeal enhancement (red arrow).
Case Discussion
Post-contrast scans show gyriform enhancement in the right hemisphere of brain. There are a lot of mixed metastatic foci in the skull bones and С1-С2 vertebrae. These findings with anamnesis of breast cancer are suggestive of leptomeningeal metastases.