Presentation
Right breast cancer underwent mastectomy three years ago. Now referred with paralysis started from 3 months ago.
Patient Data
Two well-defined heterogeneous signals including blood products (T1 hyperintense rim) intra-axial enhancing mass lesions with extensive perilesional vasogenic edema in grey-white matter junction of right high frontal (22 x 38 mm) and left occipital (20 x 28 mm) lobes.
The lesions show water restriction on DWI images.
Few abnormal signal intradiploic enhancing lesions involving the calvarial bones due to skull metastasis.
Case Discussion
Hemorrhagic brain metastases and skull metastatic lesions are consistent with the patient's medical history (known case of breast cancer three years ago).