Cerberal and ocular metastases

Discussion:

In the context of a history of breast cancer 2 years ago, established brain metastasis was considered and the recently identified left ocular lesion is likely to be ocular metastasis (uveal metastasis). It showed the same radiological features of the brain parenchymal lesion as the marginal enhancement and central necrosis. The possibility of being a primary tumor is less likely as for example the primary uveal malignant melanoma is usually hyperintense on T1, hypointense on T2 with more solid enhancement on T1C+. Also the presence of the brain metastatic lesions before the ocular lesion. It showed restriction on DWI as shown by some brain parenchymal lesions.

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