Metastatic lung cancer

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Headache

Patient Data

Age: 75 years
Gender: Male
mri

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

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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