case_images: PMC8034995_01
case_images: Unremarkable chest X-ray at (a) mania onset and (b) 2 years later, with a mass (arrow) in the right upper lobe of the lung.
case_images: BN2021-8880539.001.jpg
case_images: PMC8034995_01_BN2021-8880539.001.jpg
case_images: fig1
case_images: Laboratory blood tests were still unremarkable, but a chest X-ray showed a mass in the right upper lobe of the lung (Figure 1).
case_images: Brain MRI (a) 10 months after and (b) 2 years after mania onset, with a brain mass at 2 years (arrow).
case_images: BN2021-8880539.002.jpg
case_images: PMC8034995_01_BN2021-8880539.002.jpg
case_images: fig2
case_images: MRI revealed a mass lesion in the left occipito-parietotemporal lobe, sized 8.4 cm x 4.4 cm x 6.0 cm, with a midline shift to the right (Figure 2). Malignant origin was favored, and neurosurgery specialists were consulted for evaluation.