File:Cerebral metastases (Radiopaedia 33041-34055 Axial lung window 23).png

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Cerebral_metastases_(Radiopaedia_33041-34055_Axial_lung_window_23).png ‎(512 × 512 pixels, file size: 231 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 33041
  • Image ID: 9988198
  • Image stack position: 23/58
  • Plane projection: Axial
  • Aux modality: lung window
  • Study findings: There is a solid left upper lobe lesion noted. Large left hilar lymph node. There are innumerable further pulmonary lesions noted, consistent with metastatic disease. No solid liver lesions are identified. Adrenals are normal. Conclusion: Left upper lobe pulmonary mass. Enlarged left hilar node and extensive metastatic disease.
  • Modality: CT
  • 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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