Presentation
Known case of breast cancer, presented with headache.
Patient Data
Age: 60 years
Gender: Female
From the case:
Skull metastasis with dural extension
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There are hyperintense expansile bony metastases in the left occipital bone, which show homogenous enhancement with extra-axial extension and pachymeningeal involvement. In addition is extension into the scalp soft tissues.
There is underlying subcortical white matter hyperintensity representing edema on T2W and FLAIR sequences.
Case Discussion
Pachymeningeal metastases from breast cancer can be from primary involvement of tumor or extension from adjacent bone metastases.
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