Leptomeningeal metastases

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Smoker, presenting with hemoptysis and confusion.

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

The icing sugar (or sugar coated) enhancement pattern within the brain, is typical of leptomeningeal metastases, most commonly observed with lung and breast primaries, aside from those with a CNS primary.

Staging CT of the chest revealed a T4 left upper lobe tumor with associated pulmonary metastases

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