Cerebral metastases - from lung cancer

Case contributed by Dr Nikola Todorovic , 25 Apr 2017

Diagnosis almost certain

Changed by Dr Nikola Todorovic, 25 Apr 2017

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Status changed from draft to published (public).

Published At was set to .

Presentation was changed:

The other clinic in-patient on chemotherapy for lung cancer, sent by their neurologist for a brain MRI because of worsening of the patient's condition with headaches, vomiting, ~~walking instability,~~ acute left eye blindness, inability to close the left eye and left facial nerve paresis.

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Findings was changed:

Frontally, parasagittally on the right, there is a focal expansive lesion hyperintense on T2 and FLAIR, hypo to isointense on T1 with a strong postcontrast signal intensity enhancement, without a perifocal oedema.In the left cerebellar hemisphere, there is another focal expansive lesion with intensive postcontrast signal intensity enhancement.Finally, there is an expansive lesion in the left middle cerebellar peduncle~~, adjacent~~ and adjacent cerebellar parenchyma hyperintense in T2 and FLAIR, hypo to isointense on T1, with intense postcontrast signal intensity enhancement, with perifocal oedema in the pons and ~~the~~ medulla oblongata.All tree lesions are most probably ~~represent~~ metastases.~~Beside~~Besides this, there is a dilatation of the lateral ventricles, a periventricular hyperintensity (T2 and FLAIR) consistent with the leukoencephalopathy and multiple lacunar and punctiform old ischemic lesions, consistent with a microangiopathy.

Cerebral metastases - from lung cancer

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