case_images: PMC4461905_01
case_images: Occipital scalp lump. a-lateral view, b-posterior view
case_images: 13022_2015_13_Fig1_HTML.jpg
case_images: PMC4461905_01_13022_2015_13_Fig1_HTML.jpg
case_images: Fig1
case_images: Examination revealed a non-tender, hemispherical, subcutaneous lump over the occipital region (Fig. 1a and b) approximately 10 cm in diameter.
case_images: Contrast CT brain showing skull deposit with extra and intracranial extension
case_images: 13022_2015_13_Fig2_HTML.jpg
case_images: PMC4461905_01_13022_2015_13_Fig2_HTML.jpg
case_images: Fig2
case_images: CT scan of the brain showed a scalp mass with destruction of the adjacent skull vault and intracranial extension but (Fig. 2) no penetration of the meninges. Core biopsy of the lesion revealed a metastatic deposit from a hepatocellular carcinoma.
case_images: Contrast CT abdomen showing hepatoma in segment VI
case_images: 13022_2015_13_Fig3_HTML.jpg
case_images: PMC4461905_01_13022_2015_13_Fig3_HTML.jpg
case_images: Fig3
case_images: Subsequent triple phase CT scan of the abdomen (Fig. 3) showed a 3.5 cm diameter lesion in segment VI of the liver with characteristic features of
case_images: a Swelling over left scapular region. b Arrow indicates metastatic bone destruction of left scapula
case_images: 13022_2015_13_Fig4_HTML.jpg
case_images: PMC4461905_01_13022_2015_13_Fig4_HTML.jpg
case_images: Fig4
case_images: During follow up, he developed a painful soft tissue swelling over the left scapular region (Fig. 4a). CT scan revealed a subcutaneous mass with destruction of the left scapula (Fig. 4b), confirmed by FNAC to be metastatic.