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*Only for medical professionals to read for reference.
Can you make a decision within 3 seconds? Male, 55 years old
.
Headache, dizziness and weakness of left limb for 1 week
.
No history of fever and epilepsy
.
Look at the image below, can you analyze it? ---Answer dividing line---Are you sure you want to see the answer? ▌ Clinical image analysis CT and CT enhancement (Figure A, Figure B) showed that most of the small cystic lesions in the right temporal lobe, with mild enhancement of the cyst wall, and cysticercosis infection was initially considered in the clinic
.
One month later, MRI was performed.
T1WI (Figure C) showed enhancement of the cyst wall with enhancement of mural nodules, excluding the diagnosis of cysticercosis as a brain metastasis
.
▌ Imaging diagnosis of brain metastases
.
▌ Discussion points.
For older patients who show cystic lesions on plain scan, which may be cysticercosis, if the cyst is not very smooth, you should be highly alert to the possibility of metastasis.
Enhanced scanning of the cyst wall can confirm the diagnosis
.
Most brain metastases have imaging changes of necrotic cysts
.
References: [1]Narita Y, Sato S, Kayama T.
Review of the diagnosis and treatment of brain metastases[J].
Jpn J Clin Oncol.
2021 Nov 2:hyab182.
doi: 10.
1093/jjco/hyab182.
Epub ahead of print.
PMID: 34865060.
More "read one image every day", you can scan the code to view the medical community strives to be accurate and reliable when the published content is approved, but it is not about the timeliness of the published content and the referenced materials Make any promises and guarantees for the accuracy and completeness of (if any), and assume no responsibility for the outdated content and the possible inaccuracy or incompleteness of the cited information
.
Relevant parties are requested to check separately when adopting or using this as a basis for decision-making
.
Contribution/Reprint/Business Cooperation: yxjsjbx@yxj.
org.
cn
Can you make a decision within 3 seconds? Male, 55 years old
.
Headache, dizziness and weakness of left limb for 1 week
.
No history of fever and epilepsy
.
Look at the image below, can you analyze it? ---Answer dividing line---Are you sure you want to see the answer? ▌ Clinical image analysis CT and CT enhancement (Figure A, Figure B) showed that most of the small cystic lesions in the right temporal lobe, with mild enhancement of the cyst wall, and cysticercosis infection was initially considered in the clinic
.
One month later, MRI was performed.
T1WI (Figure C) showed enhancement of the cyst wall with enhancement of mural nodules, excluding the diagnosis of cysticercosis as a brain metastasis
.
▌ Imaging diagnosis of brain metastases
.
▌ Discussion points.
For older patients who show cystic lesions on plain scan, which may be cysticercosis, if the cyst is not very smooth, you should be highly alert to the possibility of metastasis.
Enhanced scanning of the cyst wall can confirm the diagnosis
.
Most brain metastases have imaging changes of necrotic cysts
.
References: [1]Narita Y, Sato S, Kayama T.
Review of the diagnosis and treatment of brain metastases[J].
Jpn J Clin Oncol.
2021 Nov 2:hyab182.
doi: 10.
1093/jjco/hyab182.
Epub ahead of print.
PMID: 34865060.
More "read one image every day", you can scan the code to view the medical community strives to be accurate and reliable when the published content is approved, but it is not about the timeliness of the published content and the referenced materials Make any promises and guarantees for the accuracy and completeness of (if any), and assume no responsibility for the outdated content and the possible inaccuracy or incompleteness of the cited information
.
Relevant parties are requested to check separately when adopting or using this as a basis for decision-making
.
Contribution/Reprint/Business Cooperation: yxjsjbx@yxj.
org.
cn
