case_images: PMC9527531_01
case_images: T1 post-contrast axial magnetic resonance imaging of the brain shows
  enhancing mass in (A) right posterior parietal lobe and (B) left posterior
  parietal lobe with surrounding vasogenic edema.
case_images: 10.1177_23247096221117788-fig1.jpg
case_images: PMC9527531_01_10.1177_23247096221117788-fig1.jpg
case_images: fig1-23247096221117788
case_images: On imaging, magnetic resonance imaging (MRI) of the brain revealed a hemorrhagic, lobulated, heterogeneous mass with surrounding vasogenic edema measuring approximately 2.9 x 2.0 x 2.2 cm in posterior parietal lobes, while in the left mid posterior parietal lobe it measured 1.7 x 1.9 x 1.7 cm (Figure 1).
case_images: Axial computed tomography image through the mid lung fields showing
  cannonball rounded lung lesions bilaterally consistent with metastases.
case_images: 10.1177_23247096221117788-fig2.jpg
case_images: PMC9527531_01_10.1177_23247096221117788-fig2.jpg
case_images: fig2-23247096221117788
case_images: Axial computed tomography image through the liver showing heterogeneous
  attenuation of the liver parenchyma caused by multiple ill-defined hypodense
  liver lesions infiltrating both lobes.
case_images: 10.1177_23247096221117788-fig3.jpg
case_images: PMC9527531_01_10.1177_23247096221117788-fig3.jpg
case_images: fig3-23247096221117788
case_images: (A) Metastatic carcinoma in brain: At intermedium magnification (100x), the
  carcinoma cells form nests around the veins (indicated by arrow), infiltrate
  within the cerebral parenchyma (indicated by arrowhead). (B) At high
  magnification (400x), the carcinoma cells demonstrate marked pleomorphism,
  vesicular nuclei, high nuclear cytoplasm ratio, irregular nuclear
  membranes.
case_images: 10.1177_23247096221117788-fig4.jpg
case_images: PMC9527531_01_10.1177_23247096221117788-fig4.jpg
case_images: fig4-23247096221117788
case_images: Ki67 proliferation marker showed brisk mitotic activity (40-50%; Figure 4,5).