Radiology Quiz 14882 | Radiopaedia.org

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True or false: The vast majority of patients with spinal cord metastases will have visible CNS disease elsewhere.

False. Only one-third of patients have concomitant brain metastasis and 25% have leptomeningeal metastases. As such merely because a lesion is solitary, the possibility of it representing a metastasis cannot be dismissed.

This patient had had a left upper pulmonary lobe resection for small cell lung cancer 2 years ago, and had extensive metastatic disease elsewhere.