Diagnosis: Malignant neoplasm of unspecified ovary Disorder of brain, unspecifiedClinical question: 45yo female with ovarian cancer and nonspecific brain lesion seen on PET, recommended f/u MRI to further characterizeSigns and Symptoms: brain lesion on PET 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 foci of susceptibility effect as well as 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 maxillary sinuses with more mucosal thickening in the right maxillary sinus compared to the left.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
A hemorrhagic mass in the right occipital lobe is suspicious for metastatic disease.