Multiple osseous lytic metastases involving the calvaria, skull base, orbit and mandible with epidural and extracranial extension. Bilateral orbital soft tissue extension, paranasal sinuses involvement and mandibular lesions. Moreover, there is a large left parietal mass, which appears continuous with the dural mass. It is difficult to convincingly determine whether this mass is intra-axial or extra-axial. It is surrounded by perifocal oedema and exerts positive mass effect in the form of subfalcine and early uncal herniation. Sutural diastasis when dural lesions involve suture lines.