CASE OF THE MONTH

2001

ANSWER

FOR SEP

Fig 1

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Figure 3 Fig 5

Figure 5

Fig 2

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Figure 4 Fig 6

Figure 6

Figure 1 Axial T-1 weighed brain
Figure 2 Axial T-2 weighed brain
Figure 3 Sagittal T-1 weighed brain
Figure 4 Sagittal post-contrast brain
Figure 5 Coronal post-contrast brain
Figure 6 Axial post-contrast brain

DIAGNOSIS :

Expansile mass occupying clivus with extension into both cavernous sinuses. Differential diagnosis of such lesion included metastasis, myeloma and chordoma. THis patient has known CA Lung thus compatible with metastasis.

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