Male, 70 years old, with right occipital hemorrhage, evaluate for source of bleeding. Image quality is degraded by motion artifact. Within this limitation, the following observations are made. A rim-enhancing mass is present in the right occipital lobe measuring 4 x 3 x 2.5 cm. Hemorrhage is evident adjacent to and within the tumor. Moderate edema is seen in the surrounding parenchyma and there is regional mass effect in the form of right lateral ventricular effacement and sulcal effacement. No definite brain herniation is observed. No definite additional enhancing lesions are seen. The ventricular system is otherwise unremarkable.
A hemorrhagic rim-enhancing mass is present in the right occipital lobe. Given the history of cancer, a metastatic lesion is favored. However, a primary brain tumor could present with similar features.