Intracerebral metastases CT: Difference between revisions
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Image:CT scan of brain metastasis 11.jpg|<sub>Noncontrast CT scan of a 80 year old hispanic female with known history of lung cancer, presenting with impaired consciousness, demonstrates several hypodense area of vasogenic edema in the right frontal lobe with two scattered rounded dense images.<ref name=ctimage11>Image courtesy of Dr. David Cuete. Radiopaedia (original file [http://radiopaedia.org/cases/haemorrhagic-brain-metastases here]). Creative Commons BY-SA-NC</ref></sub> | Image:CT scan of brain metastasis 11.jpg|<sub>Noncontrast CT scan of a 80 year old hispanic female with known history of lung cancer, presenting with impaired consciousness, demonstrates several hypodense area of vasogenic edema in the right frontal lobe with two scattered rounded dense images.<ref name=ctimage11>Image courtesy of Dr. David Cuete. Radiopaedia (original file [http://radiopaedia.org/cases/haemorrhagic-brain-metastases here]). Creative Commons BY-SA-NC</ref></sub> | ||
Image:CT scan of brain metastasis 12.jpg|<sub>Contrast CT scan of a 80 year old hispanic female with known history of lung cancer, presenting with impaired consciousness, demonstrates an enhanced mass in the right frontal hemisphere.<ref name=ctimage11>Image courtesy of Dr. David Cuete. Radiopaedia (original file [http://radiopaedia.org/cases/haemorrhagic-brain-metastases here]). Creative Commons BY-SA-NC</ref></sub> | Image:CT scan of brain metastasis 12.jpg|<sub>Contrast CT scan of a 80 year old hispanic female with known history of lung cancer, presenting with impaired consciousness, demonstrates an enhanced mass in the right frontal hemisphere.<ref name=ctimage11>Image courtesy of Dr. David Cuete. Radiopaedia (original file [http://radiopaedia.org/cases/haemorrhagic-brain-metastases here]). Creative Commons BY-SA-NC</ref></sub> | ||
Image:CT scan of brain metastasis 13.jpg|Contrast CT scan of a 60 year old hispanic female with known history of metastatic breast cancer demonstrates two round lesions with ring-shaped enhancement in the right temporal region with perilesional edema.<ref name=ctimage13>Image courtesy of Dr. David Cuete. Radiopaedia (original file [http://radiopaedia.org/cases/brain-metastases-from-breast-cancer here]). Creative Commons BY-SA-NC</ref></sub> | |||
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Revision as of 16:09, 13 November 2015
Intracerebral metastases Microchapters |
Differentiating Intracerebral Metastases from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
Intracerebral metastases CT On the Web |
American Roentgen Ray Society Images of Intracerebral metastases CT |
Risk calculators and risk factors for Intracerebral metastases CT |
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Overview
CT
NECT: Iso to hypodense mass with anywhere from zero to marked peritumoral edema.
CECT: enhancement is also variable and can be intense, punctuate, nodular or ring-enhanced if the tumour has out grown it's blood supply.
Gallery
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CT scan of head before (left image) and after (right image) injection of iodinated contrast of a 75 year old patient demonstrating three brain metastatic masses from breast cancer with large peripheral edema.[1]
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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.[2]
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CT scan of a patient with known (histologically confirmed) small cell carcinoma of the lungs demonstrates multiple cystic cerebral metastases.[3]
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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.[4]
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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.[4]
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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.[5]
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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.[6]
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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.[6]
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Noncontrast CT scan of a 70 year old female with a known history of metastatic colorectal cancer, presenting with right sided hemiparesis, demonstrates a 2cm rounded mass is present in the post-central gyrus, which is iso-dense to cortex pre-contrast and demonstrates homogeneous contrast enhancement. It is located at the grey-white matter interface and is surrounded by extensive vasogenic edema, which exerts significant mass effect.[7]
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Following the administration of contrast, the mass demonstrates relatively vivid enhancement. It remains an isolated abnormality.[7]
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Noncontrast CT scan of a 53 year old caucasian male with known history of malignant melanoma, complaining of headaches, demonstrates hyperdense lesions in brain.[8]
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Noncontrast CT scan of a 80 year old hispanic female with known history of lung cancer, presenting with impaired consciousness, demonstrates several hypodense area of vasogenic edema in the right frontal lobe with two scattered rounded dense images.[9]
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Contrast CT scan of a 80 year old hispanic female with known history of lung cancer, presenting with impaired consciousness, demonstrates an enhanced mass in the right frontal hemisphere.[9]
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Contrast CT scan of a 60 year old hispanic female with known history of metastatic breast cancer demonstrates two round lesions with ring-shaped enhancement in the right temporal region with perilesional edema.[10]
References
- ↑ Media in category "Brain metastasis". Wikimedia commons 2015. https://commons.wikimedia.org/wiki/Category:Brain_metastasis. Accessed on November 10, 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
- ↑ 4.0 4.1 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
- ↑ 6.0 6.1 Image courtesy of Dr. Ayush Goel. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ 7.0 7.1 Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ Image courtesy of Dr. Bruno Di Muzio. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ 9.0 9.1 Image courtesy of Dr. David Cuete. Radiopaedia (original file here). Creative Commons BY-SA-NC
- ↑ Image courtesy of Dr. David Cuete. Radiopaedia (original file here). Creative Commons BY-SA-NC