Lung cancer metastatic to brain

Case contributed by Stefan Tigges
Diagnosis almost certain

Presentation

Left facial droop, rule out stroke.

Patient Data

Age: 65 years
Gender: Female

Multiple enhancing intra-axial masses with vasogenic edema/mass effect. Both the cerebrum and the cerebellum are involved. Many of the masses are located at the gray-white junction. No intracranial hemorrhage or CT findings of stroke.

x-ray

4 cm mass posterior segment right upper lobe, lungs otherwise clear.

Case Discussion

The combination of findings (enhancing intra-axial masses with vasogenic edema) is characteristic of metastases, especially in a patient with a lung mass.

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