File:Brain metastasis as initial presentation of non-small cell lung cancer (Radiopaedia 65122-74127 A 1).jpg

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Summary:

Description
  • Radiopaedia case ID: 65122
  • Image ID: 44934355
  • Image stack position: 1/63
  • Plane projection: Axial
  • Aux modality: C+ portal venous phase
  • Study findings: Right lower lung lobe anterior segment irregular speculated neoplastic mass lesion with surrounding spicules and parenchymal ground glass density reaching to the oblique fissure which shows nodular thickening. The mass is seen showing central cavitation as well. It measures 3.9 X 3.7 X 3.3 cm in its maximum axial and craniocaudal dimensions. Pathologically enlarged right hilar, right paratracheal and subcarinal lymph nodes are seen showing heterogeneous enhancement, the largest is seen at the latter location measuring 2.5 x 1.4 cm in its maximum axial diameters.
  • Modality: CT
  • System: Oncology
  • Findings: Bilateral few (three in number) subcortical cystic SOLs are seen at the left frontal and bilateral parietal regions, the largest is seen at the left parietal lobe measuring about 3 x 2.6 cm along its maximal axial diameters. It elicits a low signal in T1 WI, a high signal in T2 and FLAIR Wis with central cystic signal and peripheral soft tissue enhanced component with peripheral restricted signal and central facilitation in DWIs. Surrounding subcortical vasogenic edema is seen together exerting a secondary mass effect in the form of effacement of cortical sulci and attenuation of the frontal horns of the lateral ventricles more on the right side.​ MR spectroscopy showed:
Date Published: 27th Jun 2019
Source https://radiopaedia.org/cases/brain-metastasis-as-initial-presentation-of-non-small-cell-lung-cancer
Author Amr Farouk
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current01:13, 21 June 2021Thumbnail for version as of 01:13, 21 June 2021512 × 512 (61 KB) (talk | contribs)Radiopaedia project rID:65122 (batch #4989-1 A1)