Breast mass, confusion and headache, metastasis workup There is a 18 mm x 29 mm x 30 mm sized enhancing mass on the right frontal skull.There is minimal frontal dural enhancements adjacent to the inner table side of the mass, this finding indicate possible either dural involvement of the mass or at least inflammatory changes.The diagnostic possibility should exclude metastatic lesion.There is no other intra axial or extra axial lesion identified.There is no evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
Right frontal skull bony lesion with contrast enhancement indicating possible metastatic lesion.Adjacent dural enhancement suggest possible dural involvement or inflammatory changes.No other intra axial or extra axial lesion has been found.No evidence of acute ischemic or hemorrhagic lesion on this scan.