Prior to this presentation, the patient had a pathologically proved of the malignant pheochromocytoma and bilateral renal enhancing masses likely to renal cell carcinoma (see case rID:62415)

Two month ago and after completion of treatment, patient was symptomatic and referred with a history of hypertension, headache, vertigo and weight loss and brain MRI was done and regarding to imaging findings highly suggestive of multiple hemangioblastomas. A metastasis is the main differential diagnosis.