Case of September 2011

Clinical History:

A 44 years old lady presented with progressive severe headache for few weeks. She also complained of transient double vision and unsteady gait. Plain CT brain showed suspicious sulcal space effacement near the vertex. She has history of radical subtotal gastrectomy for gastric carcinoma (signet ring adenocarcinoma) about half a year ago, and with adjuvant chemotherapy given. She does not have recent history of vaccination, fever or travel.

FLAIR (Se4)                                                          T2 (Se2)

T1 (Se3)                                                                  T1+c (Se5)