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Multiple brain metastases from bronchogenic carcinoma

Case contributed by Saeed Soltany Hosn
Diagnosis almost certain

Presentation

A 70-year-old man with a history of bronchogenic carcinoma presented with acute onset seizure

Patient Data

Age: 70 years
Gender: Male

Selected images of CT scan show a large vividly enhancing space-occupying lesion with surrounding vasogenic edema in the right frontoparietal region with resultant midline shift.

There is a large lobulated non-homogeneous mass in the right frontal lobe associated with gross surrounding edema and midline shift. Following intravenous administration of gadolinium, the mass demonstrates intense heterogeneous contrast enhancement. The margins of this mass appear well-defined on the Tl-weighted postgadolinium sequence. There are 10 other enhanced foci in cerebral and cerebellar hemispheres.

Case Discussion

Multiple cerebral and cerebellar metastases from lung carcinoma in a 70-year-old man. 

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