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Carcinomatous meningitis (leptomeningeal metastases)

Hendricks RLH - MedPix (2012)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Carcinomatous meningitis (leptomeningeal metastases)

History: Patient presents with headaches and a history of known metastatic breast cancer.

Findings: MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. Some small, nonenhancing foci were seen on FLAIR sequence within the brain parenchyma. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium.

Ddx: -infectious meningitis/meningoencephalitis due to fungal, bacterial, or viral causes -carcinomatous meningitis

Dxhow: MRI Brain with and without contrast.

No MeSH data available.


MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium.
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MPX1863_synpic57977: MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium.


Carcinomatous meningitis (leptomeningeal metastases)

Hendricks RLH - MedPix (2012)

MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1863&req=5

MPX1863_synpic57977: MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Carcinomatous meningitis (leptomeningeal metastases)

History: Patient presents with headaches and a history of known metastatic breast cancer.

Findings: MRI Brain with contrast showed an enhancing widespread pachymeningeal thickening with predominance in the cerebral convexities along with involvement of the anterior falx and sparing of the posterior falx and tentorium. Some small, nonenhancing foci were seen on FLAIR sequence within the brain parenchyma. No hydrocephalus or ischemia noted. Heterogeneous abnormal enhancement and signal intensity observed within the marrow spaces of the calvarium.

Ddx: -infectious meningitis/meningoencephalitis due to fungal, bacterial, or viral causes -carcinomatous meningitis

Dxhow: MRI Brain with and without contrast.

No MeSH data available.