Diagnosis: Secondary malignant neoplasm of brainClinical question: preop planning for crani for tumorSigns and Symptoms: preop planning There is a mass measuring 19 x 23 mm sagittal dimensions and 17 x 17 mm axial dimensions located along the right occipital pole. It is associated with a vasogenic pattern of edema.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate mucosal thickening in the in the right maxillary sinus into a lesser degree ethmoid air cells. There is some opacification of the left petrous apex. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
A mass in the right occipital lobe is suspicious for metastatic disease.