Metastatic lung cancer

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 75 years
Gender: Male
mri
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
T1
This study is a stack
Sagittal
T1
This study is a stack
Axial
SWI
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
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Info

Bilateral frontal, right posterior parietal and right cerebellar ring-enhancing lesions with mild perifocal vasogenic edema and restricted diffusion.

The patient underwent metastatic work-up, starting with CT chest with contrast as a common source of brain metastases.

ct
This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal C+
arterial phase
This study is a stack
Axial lung
window
This study is a stack
Coronal
lung window
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Info

Right upper lobe mass lesion involving the pleura forming a pleural mass lesion with hypodense core and marginal enhancement. It is reaching the mediastinum with ipsilateral hilar adenopathy.

Bilateral adrenal lesions with marginal enhancement, suggestive of bilateral adrenal metastases.

Aberrant right subclavian artery.

Case Discussion

Features are consistent with metastatic lung cancer. It can prersent with brain metastasis.

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