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Dural metastases mimicking meningiomas

Case contributed by Brendon Friesen
Diagnosis almost certain

Presentation

Withheld

Patient Data

Age: 65
Gender: Female

Right frontal and parietal convexity enhancing extra-axial lesions

T1 pre-contrast imaging - diffuse loss of normal marrow signal in skull and C2.

Right frontal and parietal convexity enhancing extra-axial lesions.

 

PET: Diffuse metastatic disease.

CT: sclerotic right iliac metastases - biopsied

Case Discussion

The patient had a history of metastatic breast carcinoma (sclerotic iliac mets, biopsy proven).

Presumed multiple dural metastases mimicking meningiomas.

Subtle diffuse skull marrow replacement (T1 hypointense) compatible with metastases.

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