Intracerebral metastases differential diagnosis: Difference between revisions
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Image:CT scan of brain metastasis 4.jpg|<sub>Ct scan with contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary heterogenously enhancing right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.<ref name=ctimage3>Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file [http://radiopaedia.org/cases/cerebral-metastasis-breast-cancer here]). Creative Commons BY-SA-NC</ref></sub> | Image:CT scan of brain metastasis 4.jpg|<sub>Ct scan with contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary heterogenously enhancing right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.<ref name=ctimage3>Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file [http://radiopaedia.org/cases/cerebral-metastasis-breast-cancer here]). Creative Commons BY-SA-NC</ref></sub> | ||
Image:CT scan of brain metastasis 5.jpg|<sub>Postcontrast CT image of brain for a 60 year old male patient with metastatic bronchogenic carcinoma presenting with altered mental status and headache of recent onset demonstrating enhancing intra-axial lesion.<ref name=ctimage5>Image courtesy of Dr. Hani Al Salam. Radiopaedia (original file [http://radiopaedia.org/cases/bronchogenic-carcinoma-metastasis here]). Creative Commons BY-SA-NC</ref></sub> | Image:CT scan of brain metastasis 5.jpg|<sub>Postcontrast CT image of brain for a 60 year old male patient with metastatic bronchogenic carcinoma presenting with altered mental status and headache of recent onset demonstrating enhancing intra-axial lesion.<ref name=ctimage5>Image courtesy of Dr. Hani Al Salam. Radiopaedia (original file [http://radiopaedia.org/cases/bronchogenic-carcinoma-metastasis here]). Creative Commons BY-SA-NC</ref></sub> | ||
Image:CT scan of brain metastasis 6 noncontrast.jpg|<sub>Noncontrast CT of a 36 year old female, a known case of esophageal cancer, | Image:CT scan of brain metastasis 6 noncontrast.jpg|<sub>Noncontrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.<ref name=ctimage6>Image courtesy of Dr. Ayush Goel. Radiopaedia (original file [http://radiopaedia.org/cases/cystic-cerebral-metastases here]). Creative Commons BY-SA-NC</ref></sub> | ||
Image:CT scan of brain metastasis 7 postcontrast.jpg|<sub>Post contrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a ring-enhancing cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.<ref name=ctimage6>Image courtesy of Dr. Ayush Goel. Radiopaedia (original file [http://radiopaedia.org/cases/cystic-cerebral-metastases here]). Creative Commons BY-SA-NC</ref></sub> | |||
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Revision as of 15:10, 13 November 2015
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Intracerebral metastases Microchapters |
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Differentiating Intracerebral Metastases from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Intracerebral metastases differential diagnosis On the Web |
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American Roentgen Ray Society Images of Intracerebral metastases differential diagnosis |
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Risk calculators and risk factors for Intracerebral metastases differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]
Overview
Differential Diagnosis
Intracranial metastases must be differentiated from:[1][2]
- Glioblastoma multiforme
- Primary CNS lymphoma
- Stroke
- Epilepsy
- Radiation necrosis
- Brain abscess
- Herpes simplex encephalitis
Gallery
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![CT scan of a 60 year old patient who developed left-handed weakness which improved with corticosteroids and neurological examination revealing left pronator drift and left sided arm and leg weakness demonstrates right frontoparietal hyperdense intra-axial lesion that enhances in post contrast study. Small surrounding vasogenic edema and no significant mass effect is observed.[3]](/images/e/e3/CT_scan_of_brain_metastasis_1.jpg)
CT scan of a 60 year old patient who developed left-handed weakness which improved with corticosteroids and neurological examination revealing left pronator drift and left sided arm and leg weakness demonstrates right frontoparietal hyperdense intra-axial lesion that enhances in post contrast study. Small surrounding vasogenic edema and no significant mass effect is observed.[3]
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![CT scan of a patient with known (histologically confirmed) small cell carcinoma of the lungs demonstrates multiple cystic cerebral metastases.[4]](/images/9/9f/CT_scan_of_brain_metastasis_2.jpg)
CT scan of a patient with known (histologically confirmed) small cell carcinoma of the lungs demonstrates multiple cystic cerebral metastases.[4]
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![Ct scan without contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.[5]](/images/2/2b/CT_scan_of_brain_metastasis_3.jpg)
Ct scan without contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.[5]
-
![Ct scan with contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary heterogenously enhancing right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.[5]](/images/5/56/CT_scan_of_brain_metastasis_4.jpg)
Ct scan with contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary heterogenously enhancing right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.[5]
-
![Postcontrast CT image of brain for a 60 year old male patient with metastatic bronchogenic carcinoma presenting with altered mental status and headache of recent onset demonstrating enhancing intra-axial lesion.[6]](/images/1/1d/CT_scan_of_brain_metastasis_5.jpg)
Postcontrast CT image of brain for a 60 year old male patient with metastatic bronchogenic carcinoma presenting with altered mental status and headache of recent onset demonstrating enhancing intra-axial lesion.[6]
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![Noncontrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.[7]](/images/1/1e/CT_scan_of_brain_metastasis_6_noncontrast.jpg)
Noncontrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.[7]
-
![Post contrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a ring-enhancing cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.[7]](/images/4/47/CT_scan_of_brain_metastasis_7_postcontrast.jpg)
Post contrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a ring-enhancing cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.[7]
![CT scan of a 60 year old patient who developed left-handed weakness which improved with corticosteroids and neurological examination revealing left pronator drift and left sided arm and leg weakness demonstrates right frontoparietal hyperdense intra-axial lesion that enhances in post contrast study. Small surrounding vasogenic edema and no significant mass effect is observed.[3]](/index.php/File:CT_scan_of_brain_metastasis_1.jpg)
![CT scan of a patient with known (histologically confirmed) small cell carcinoma of the lungs demonstrates multiple cystic cerebral metastases.[4]](/index.php/File:CT_scan_of_brain_metastasis_2.jpg)
![Ct scan without contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.[5]](/index.php/File:CT_scan_of_brain_metastasis_3.jpg)
![Ct scan with contrast of the patient with known metastatic breast cancer, complaining of headache, demonstrates a solitary heterogenously enhancing right frontal lobe mass with extensive surrounding edema. The mass has it's epicenter close to the grey white matter junction.[5]](/index.php/File:CT_scan_of_brain_metastasis_4.jpg)
![Postcontrast CT image of brain for a 60 year old male patient with metastatic bronchogenic carcinoma presenting with altered mental status and headache of recent onset demonstrating enhancing intra-axial lesion.[6]](/index.php/File:CT_scan_of_brain_metastasis_5.jpg)
![Noncontrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.[7]](/index.php/File:CT_scan_of_brain_metastasis_6_noncontrast.jpg)
![Post contrast CT of a 36 year old female, a known case of esophageal cancer, presenting with headache and right sided hemiparesis, demonstrates a ring-enhancing cystic lesion (37 x 31 mm) in the left high frontal lobe with significant perilesionalvasogenic edema causing mass effect in the form of sulcal effacement and subfalcine herniation.[7]](/index.php/File:CT_scan_of_brain_metastasis_7_postcontrast.jpg)
References
- ↑ Andrew B. Lassman & Lisa M. DeAngelis (2003). "Brain metastases". Neurologic clinics. 21 (1): 1–23. PMID 12690643. Unknown parameter
|month=ignored (help) - ↑ Differential diagnosis of brain metastases. Dr Bruno Di Muzio and Dr Trent Orton et al. Radiopaedia 2015. http://radiopaedia.org/articles/brain-metastases. Accessed on November 9, 2015
- ↑ Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ 5.0 5.1 Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ Image courtesy of Dr. Hani Al Salam. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ 7.0 7.1 Image courtesy of Dr. Ayush Goel. Radiopaedia (original file here). Creative Commons BY-SA-NC