78 Year Old With Increasing Gait Difficulty

This is unpublished
FLAIR.
FLAIR
T1 noncontrast.
T1 noncontrast
T1 post Gad.
T1 post Gad
T1 post Gad.
T1 post Gad

Findings:

Multiple enhancing mass lesions with vasogenic edema. Leptomeningeal enhancement.

DDX:

Meningitis/Abscesses, Sarcoid, Lymphoma, Metastases

Diagnosis:

Leptomeningeal metastases (carcinomatosis) in patient with non small cell lung carcinoma

Discussion:

Combination of enhancing nodules and leptomeningeal enhancement is highly suggestive of widely disseminated metastases .

Submitted by Farrah Jabeen, MD, UW Neuroradiology Fellow