File:Cerebral metastases (Radiopaedia 33041-34054 AP CHEST (NON-GRID) 1).png

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Summary:

Description
  • Radiopaedia case ID: 33041
  • Image ID: 9987128
  • Plane projection: AP CHEST (NON-GRID)
  • Study findings: There is a left hilar lung mass with at least partial collapse of the left upper lobe. Apparent widening of the mediastinum may partly be due to the collapsed upper lobe or due to left sided mediastinal lymphadenopathy. Small ill-defined nodules bilaterally are likely to represent pulmonary metastases.
  • Modality: X-ray
  • System: Central Nervous System
  • Findings: Innumerable rim enhancing lesions are demonstrated throughout the supratentorial and infratentorial brain. These lesions are predominantly centered at the grey-white matter junction although there is a deposit in the body of the left lateral ventricle. The largest lesion is in the parafalcine left parietal lobe with moderate surrounding T2 hyperintensity suggestive of reactive edema. No central diffusion restriction is demonstrated. Mildly increased DWI signal at the enhancing component of the some of the larger lesions may reflect high cellularity. Mild compression of the trigone of the left lateral ventricle. Ventricles and sulci are otherwise commensurate the patient's age. Conclusion: Innumerable rim enhancing lesions without central diffusion restriction are compatible with metastases.
Date Published: 12th Sep 2016
Source https://radiopaedia.org/cases/cerebral-metastases-5
Author Frank Gaillard
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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

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