52 year old female with breast cancer (metastatic). Please evaluate disease. On chemotherapy. No evidence of metastatic disease to the brain or the leptomeninges is identified. An expansile and suspected of hypervascular mass is identified in the left occipital bone. This mass measures approximately 43 mm in transverse axis and 25-mm in AP axis. This is highly suspected of a metastatic skull lesion. The mass minimally expands into the epidural space and is suspected of producing vasogenic edema of the left occipital lobe. There is significant extra osseous spread of tumor into the soft tissues of the scalp. For further evaluation and in particular for better evaluation of the status of brain parenchymal under this tumor an MRI is recommended.
1.No evidence of intracranial brain parenchymal or leptomeningeal metastases.2.Expansile destructive and suspected of highly vascular tumor in the left occipital bone with vasogenic edema left occipital lobe.3.Further evaluation with an MRI is recommended.