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Rapid brain metastasis within 3 weeks
  1. Josef G Heckmann1,
  2. Barabara Kempf2,
  3. Stefan Ernst3
  1. 1Department of Neurology, Municipal Hospital Landshut, Landshut, Germany
  2. 2Department of Hematology and Oncology, Municipal Hospital Landshut, Landshut, Germany
  3. 3Department of Radiology, Municipal Hospital Landshut, Landshut, Germany
  1. Correspondence to Professor Dr Josef G Heckmann, Department of Neurology, Municipal Hospital Landshut, Robert-Koch Str. 1, Landshut 84034, Germany; josef.heckmann{at}klinikum-landshut.de

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A 70-year-old man with a recent diagnosis of adenocarcinoma of the lung presented with right hand clumsiness. Examination found a slight weakness of the right arm. A non-contrast cranial CT scan showed at least five hyperdense circular lesions with a diameter up to 2 cm, compatible with brain metastases (figure 1A).

Figure 1

A 70-year-old man with clumsiness of the right upper extremity. (A) Unenhanced axial CT scan shows at least five hyperdense circular lesions with a diameter up to 2 cm, compatible with brain metastases. (B) MRI brain …

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