50 year-old female with history of multiple myeloma presents with headachesIMAGE ACQUISITIONS: Noncontrast head CT There is a large high-density extra-axial mass centered in the left frontal bone with a large intracranial component causing significant mass-effect on the left cerebral hemisphere. There is extension through the anterior aspect of the falx cerebri and into the right anterior medial frontal lobe. There is also a smaller extracranial component.Although there is no other obvious tumor or lytic calvarial lesion, there does appear to be some additional mass-effect in the posterior fossa causing rightward shift of the fourth ventricle. We recommend a brain MRI with contrast to further evaluate these findings.Findings were discussed with Dr. Mattingly at 2:30 p.m.
Large left frontal extra-axial mass with destruction of the left frontal bone and significant extra- and intra-cranial components. We recommend a brain MRI with contrast.