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종결 Case No. 494 2018-10-01~2018-10-31
출제자 : 류경화 Hit : 265
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Period 2018-10-01~2018-10-31
Diagnosis Dura/skull metastasis from colon cancer
Gender
  • M
  •  
  • F
Age 55
Clinical information 55세/여자
Syncope, fever, headache
진단은?
Discussion
Second most common site of CNS metastases
Image finding
CT : biconvex mass centered on skull
MR
T1WI: metastasis replace hyperintense fat
T2WI: hyperintense
T1C+: focal or diffuse, enhance strongly
DWI: hypercellular metastases may restrict
Differential diagnosis
Hypertrophic pachymeningitis
Meningeal involvement of CNS lymphoma
En plaque meningioma
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