case_images: PMC10914378_01
case_images: a Top left.b Top right. c Bottom left. d Bottom right.
case_images: crn-2024-0016-0001-536594_F01.jpg
case_images: PMC10914378_01_crn-2024-0016-0001-536594_F01.jpg
case_images: F1
case_images: Multimodal computed tomography (CT) brain imaging demonstrated a proximal right M2 occlusion with a moderately sized perfusion lesion (Fig. 1a-c). Repeat non-contrast CT (Fig. 1d) demonstrated a large right parietal intraparenchymal haemorrhage with intraventricular and subdural haemorrhagic extension, obstructive hydrocephalus, 17 mm of midline shift and both parafalcine and uncal herniation.
case_images: a Top left. b Top middle. c Top right. d Bottom left. e Bottom middle. f Bottom right.
case_images: crn-2024-0016-0001-536594_F02.jpg
case_images: PMC10914378_01_crn-2024-0016-0001-536594_F02.jpg
case_images: F2
case_images: Following subsequent clinical deterioration (below) review of imaging further disclosed a 70 mm x 15 mm left anterior thigh superficial fascia lesion without inguinal or subdiaphragmatic lymphadenopathy, and multiple subtle sclerotic metastatic-appearing lesions throughout the axial skeleton and sternum (Fig. 2a-f).