2021
DOI: 10.1016/j.radcr.2021.09.041
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Differential diagnosis of a ring-enhancing brain lesion in the setting of metastatic cancer and a mycotic aneurysm

Abstract: A diagnostic challenge arises when a patient presents with a ring-enhancing lesion of the brain in the setting of both metastatic cancer and a source of infection. We report a case depicting this dilemma in an 80-year-old man with a history of metastatic oral squamous cell carcinoma who presented for left-sided hemiparesis. Computed tomography and magnetic resonance imaging revealed a ring-enhancing lesion of the right parietal vertex without signs of stroke. He was also found to have an aneurysm of the right … Show more

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Cited by 2 publications
(1 citation statement)
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“…Ring-enhancing lesions of the brain parenchyma on magnetic resonance imaging (MRI) have broad differential diagnoses, including abscesses, metastases, high-grade gliomas, and vascular, infectious, or inflammatory processes [ 1 ]. Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system, which can infrequently exhibit nodular or ring-like contrast enhancement, and glial tumors have been known to coexist with demyelinating MS lesions [ 2 - 3 ].…”
Section: Introductionmentioning
confidence: 99%
“…Ring-enhancing lesions of the brain parenchyma on magnetic resonance imaging (MRI) have broad differential diagnoses, including abscesses, metastases, high-grade gliomas, and vascular, infectious, or inflammatory processes [ 1 ]. Multiple sclerosis (MS) is an inflammatory demyelinating disease of the central nervous system, which can infrequently exhibit nodular or ring-like contrast enhancement, and glial tumors have been known to coexist with demyelinating MS lesions [ 2 - 3 ].…”
Section: Introductionmentioning
confidence: 99%