Skull metastasis
Updates to Case Attributes
The patient hadhas a historyknown hepatocellular carcinoma. The diagnosis of hepatocellular carcinomathis skull lesions is presumptive due the appearance and the clinical data. Other similar cases of skull metastases secondary to an HCC have been reported in the medical literature. A meningeal haemangiopericytoma remains a less likely differential for this case.
-<p>The patient had a history of hepatocellular carcinoma.</p>- +<p>The patient has a known <a title="Hepatocellular carcinoma (HCC)" href="/articles/hepatocellular-carcinoma">hepatocellular carcinoma</a>. The diagnosis of this skull lesions is presumptive due the appearance and the clinical data. Other similar cases of skull metastases secondary to an HCC have been reported in the medical literature. A meningeal haemangiopericytoma remains a less likely differential for this case.</p>
Updates to Study Attributes
Right pareitalparietal/occipital large destructive osteolytic lesion, associated with large ehancingenhancing extra-osseous soft tissue component which shows large extra and intra- cranial-cranial soft tissue component showing necrotic cystic center.
Image CT (3D VR bone window) ( update )
![](https://prod-images-static.radiopaedia.org/images/18705154/4accb94579b812e4f0a76eb9806b73_thumb.jpeg)
Image CT (3D VR bone window) ( update )
![](https://prod-images-static.radiopaedia.org/images/18705156/f0b343a05f6eccbc79e7f1c5779730_thumb.jpeg)
Updates to Study Attributes
Right pareitalThere is right parietal/occipital large destructive and marrow infiltrative lesion of abnormal signal, assoicatedassociated with large ehancing extra-osseous soft tissue component elicitingsignificant enhancing, isointense signal aton T1 WI and T2 WI with a cystic necrotic center, it significantly compresses the posterior aspect of the superior sagittal sinus.
Small arteryChronic small vessels disease.
The remainder exams is unremarkable.