Concluded Case

Adenocarcinoma breast with single brain mets to left occipital lobe

New case. 49 yr ,F, Known case of CA breast operated ,received radiation and chemo,was doing fine since 3 yrs ,presented with left sided dulll aching type of almost continuous headache ,althoug tolerable but disturbing her since10 days and hence attended the OPD . EXAMINATION FAILED TO OBTAIN ANY FOCAL DEFICITS INCLUDING OPTIC FUNDI. Whatabnormality in the MRI brain?

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Concluded answer
Thanks to all answers. Discussion : What abnormality in the MRI brain. MRI brain T2 / FLAIR hyperintense lesion,T 1 hypointense in the left occipital area with perilesional edema in the left temporoparietal while matter with intense heterogeneous contrast enhancement. Surgery done ,report adenocarcinoma mets. pt is under Oncology depr for further management
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Thanks to all answers. Discussion : What abnormality in the MRI brain. MRI brain T2 / FLAIR hyperintense lesion,T 1 hypointense in the left occipital area with perilesional edema in the left temporoparietal while matter with intense heterogeneous contrast enhancement. Surgery done ,report adenocarcinoma mets. pt is under Oncology depr for further management
Although it is a dural based lesion, it appears to be mets as there is no dural tail and history adds to the judgement.. a solitary Mets can be removed provided patient is fit
I agree
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Left occipital mass with perifocal oedema with mass effect with mild mid line shift
occipital region mass midline shift mass effect edema present
Valuable opinion
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Metastasis....
Thank you doctor
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