Presentation
Right-sided weakness followed by altered mental status.
Patient Data
Age: 45 years
Gender: Female
From the case:
Hemorrhagic cerebral metastases
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Non-contrast
large intra-axial space-occupying lesion with peripheral hyperdensity and central hypodensity in the left hemisphere (fronto-parietal region, extending into corona radiata and internal capsule)
with surrounding edema and mass effect - compressing left lateral ventricle, effacement of sulcal spaces and midline shift (about 14mm) to right
Post-contrast and delayedÂ
-
shows peripheral enhancement
Case Discussion
This patient had a history of Breast cancer treated surgically with post-op, chemoradiotherapy. Imaging features are consistent with cerebral metastases with peripheral hemorrhage and central necrotic area in a known case of breast cancer.
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