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Rapid brain metastasis within 3 weeks
  1. Josef G Heckmann1,
  2. Barabara Kempf2,
  3. Stefan Ernst3
  1. 1 Department of Neurology, Municipal Hospital Landshut, Landshut, Germany
  2. 2 Department of Hematology and Oncology, Municipal Hospital Landshut, Landshut, Germany
  3. 3 Department 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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Footnotes

  • Contributors All authors contributed equally to the planning, conduct and reporting of the work described in the article. JGH is responsible for the overall content as guarantor manuscript.

  • Competing interests None.

  • Provenance and peer review Not commissioned. Internally peer reviewed.

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