Intracerebral metastases CT: Difference between revisions

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Image:BrainMetastasisFromBreastCancer.jpg|<sub>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.<ref name=CTscanbrainmet1>Media in category "Brain metastasis". Wikimedia commons 2015. https://commons.wikimedia.org/wiki/Category:Brain_metastasis. Accessed on November 10, 2015</ref></sub>
Image:BrainMetastasisFromBreastCancer.jpg|<sub>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.<ref name=CTscanbrainmet1>Media in category "Brain metastasis". Wikimedia commons 2015. https://commons.wikimedia.org/wiki/Category:Brain_metastasis. Accessed on November 10, 2015</ref></sub>
Image:CT scan of brain metastasis 1.jpg|<sub>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.<ref name=CTimage1>Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file [http://radiopaedia.org/cases/metastatic-malignant-melanoma here]). Creative Commons BY-SA-NC</ref></sub>
Image:CT scan of brain metastasis 2.jpg|<sub>CT scan of a patient with known (histologically confirmed) small cell carcinoma of the lungs demonstrates multiple cystic cerebral metastases.<ref name=ctimage2>Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file [http://radiopaedia.org/cases/cerebral-metastases-1 here]). Creative Commons BY-SA-NC</ref></sub>
Image:CT scan of brain metastasis 3.jpg|<sub>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.<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 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 15:15, 13 November 2015

Intracerebral metastases Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Intracerebral Metastases from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

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Diagnosis

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Laboratory Findings

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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

References

  1. Media in category "Brain metastasis". Wikimedia commons 2015. https://commons.wikimedia.org/wiki/Category:Brain_metastasis. Accessed on November 10, 2015
  2. Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
  3. Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
  4. 4.0 4.1 Image courtesy of Dr. Frank Gaillard. Radiopaedia (original file here). Creative Commons BY-SA-NC
  5. Image courtesy of Dr. Hani Al Salam. Radiopaedia (original file here). Creative Commons BY-SA-NC
  6. 6.0 6.1 Image courtesy of Dr. Ayush Goel. Radiopaedia (original file here). Creative Commons BY-SA-NC


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