File:Cerebral metastases - from lung cancer (Radiopaedia 52901-58829 Sagittal T2 17).jpg

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Summary:

Description	Radiopaedia case ID: 52901 Image ID: 30005578 Image stack position: 17/25 Plane projection: Sagittal Aux modality: T2 Modality: MRI System: Central Nervous System Findings: Frontally, parasagittally on the right, there is a focal expansive lesion hyperintense on T2 and FLAIR, hypo to isointense on T1 with a strong postcontrast signal intensity enhancement, without a perifocal edema.In the left cerebellar hemisphere, there is another focal expansive lesion with intensive postcontrast signal intensity enhancement.Finally, there is an expansive lesion in the left middle cerebellar peduncle and adjacent cerebellar parenchyma hyperintense in T2 and FLAIR, hypo to isointense on T1, with intense postcontrast signal intensity enhancement, with perifocal edema in the pons and medulla oblongata.All tree lesions are most probably metastases.Besides this, there is a dilatation of the lateral ventricles, a periventricular hyperintensity (T2 and FLAIR) consistent with the leukoencephalopathy and multiple lacunar and punctiform old ischemic lesions, consistent with a microangiopathy.
Date	Published: 25th Apr 2017
Source	https://radiopaedia.org/cases/cerebral-metastases-from-lung-cancer
Author	Dr Nikola Todorovic
Permission (Permission-reusing-text)	http://creativecommons.org/licenses/by-nc-sa/3.0/

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