Leptomeningeal lung cancer metastases

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Headache, history of lung cancer.

Patient Data

Age: 60 years
Gender: Female

CT head at presentation.

ct

Mild to moderate communicating hydrocephalus with periventricular lucency that may represent transependymal flow of CSF.

MRI brain 3 months prior.

mri

Diffuse leptomeningeal enhancement, most severe over the left cerebral convexity. Mild communicating hydrocephalus.

CT chest 21 months prior.

ct

2.5 cm soft tissue nodule posterior segment right upper lobe with small right pleural effusion and right paratracheal, precarinal and subcarinal lymphadenopathy.

Case Discussion

A good example of leptomeningeal metastasis from lung cancer resulting in communicating hydrocephalus.

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