Leptomeningeal metastases

Case contributed by Vitalii Rogalskyi
Diagnosis probable

Presentation

Female with previously treated breast cancer, presenting with headache and speech disturbance.

Patient Data

Age: 65 years
Gender: Female

CT brain

ct

Some gyral enhancement in the right hemisphere. Multiple mixed bone metastases.

Annotated image

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.

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