case_images: PMC11307018_01
case_images: a. Mammogram. A dense, oval, finely serrated marginal mass with microcalcifications can be seen in the left M-O segment. b. Echocardiogram. A 1.5 x 1.6 x 2.4 cm lobulated mass shadow with unclear borders can be seen in the left C segment. c. Ultrasonographic scan. Left axillary swollen axillary lymph nodes of 13 mm and 11 mm in size can be seen. d. Positron emission tomography-computed tomography scan Hyper-uptake consistent with the mass can be seen in the left breast and left axillary lymph node (left breast: SUVmax, 15.2, left axillary lymph node: SUVmax, 9.5). No obvious distant metastases can be seen. SUVmax, maximum standardized uptake value.
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case_images: PMC11307018_01_bd-43-bd230026-g001.jpg
case_images: bd-43-bd230026-g001
case_images: Mammography showed a dense, oval, finely serrated marginal mass with microcalcification in the left M-O segment (Fig. 1a). Ultra-sonography showed a 2.4 cm lobe-shaped tumor on the left C area (Fig. 1b), and swollen axillary lymph nodes measuring 13 mm and 11 mm were found in the left axilla (Fig. 1c). Positron emission tomography-computed tomography (PET-CT) indicated left axillary lymph node metastasis (Fig. 1d). Ultra-sonography: A 1.5 x 1.6 x 2.4-cm lobe-shaped tumor shadow with an unclear border was observed on the left C area (Fig. 1b). Swollen axillary lymph nodes measuring 13 mm and 11 mm were found in the left axilla (Fig. 1c). No obvious distant metastases were observed (Fig. 1d).
case_images: a. Head FLAIR-MRI scan obtained at admission. High-density areas in both basal ganglia and marked compression of both ventricles can be seen. FLAIR-MRI, Fluid-attenuated inversion recovery-magnetic resonance imaging b. Occipital FLAIR-MRI obtained 2 weeks after the start of treatment. A reduction in the high-density areas of the bilateral basal ganglia and an improvement in the compression of the bilateral ventricles can be seen. FLAIR-MRI, Fluid-attenuated inversion recovery-magnetic resonance imaging. c. Occipital FLAIR-MRI obtained 3 months after the start of treatment. Further reduction of the high-density areas of the bilateral basal ganglia and further improvement of the compression of the bilateral ventricles can be seen. FLAIR-MRI, Fluid-attenuated inversion recovery-magnetic resonance imaging.
case_images: bd-43-bd230026-g002.jpg
case_images: PMC11307018_01_bd-43-bd230026-g002.jpg
case_images: bd-43-bd230026-g002
case_images: Fluid-attenuated inversion recovery MRI showed high intensity in the basal ganglia and marked compression of both ventricles (Fig. 2a). Two weeks after the start of the treatment, the brain MRI showed a reduction in the high-density areas of the bilateral basal ganglia and a reduction in the compression of the bilateral ventricles (Fig. 2b). A head MRI performed 3 months after the start of the treatment showed a further reduction in the high-density areas in the bilateral basal ganglia (Fig. 2c).