Answer for CoW 04 Feb 2018
Findings
Homogenously enhancing soft tissue intensity lesion noted involving the greater & lesser wing of right sphenoid, squamous part of right temporal bone (involving the adjacent meninges) right pterygoid plate and pterygoid muscles and the lateral wall of orbit involving the right superior orbital fissure, encasing the right cavernous sinus, sphenoid sinus, right anterior and medial temporal lobe of brain encasing the cavernous segment of right internal cerebral artery. Focal enhancing lesion noted involving the skull and adjacent meninges in the right fronto parietal region.
Discussion
Soft tissue intensity lesion involving the greater wing of right sphenoid with above mentioned extensions – suggestive of metastasis. ?primary from the prostate to be considered. suggested TRUS/sr. PSA correlation Most common cause of sphenoid wing mets are primary from breast, prostate and lung. So screening of chest amd abdomen is necessary.
Homogenously enhancing soft tissue intensity lesion noted involving the greater & lesser wing of right sphenoid, squamous part of right temporal bone (involving the adjacent meninges) right pterygoid plate and pterygoid muscles and the lateral wall of orbit involving the right superior orbital fissure, encasing the right cavernous sinus, sphenoid sinus, right anterior and medial temporal lobe of brain encasing the cavernous segment of right internal cerebral artery. Focal enhancing lesion noted involving the skull and adjacent meninges in the right fronto parietal region.
Discussion
Soft tissue intensity lesion involving the greater wing of right sphenoid with above mentioned extensions – suggestive of metastasis. ?primary from the prostate to be considered. suggested TRUS/sr. PSA correlation Most common cause of sphenoid wing mets are primary from breast, prostate and lung. So screening of chest amd abdomen is necessary.
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
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Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!