case_images: PMC11707784_01
case_images: Chest CT scan with contrast. (A) a large right lung lesion with lobulated margin. (B) showing a large lobulated left breast mass, axial View.
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case_images: Upon admission, to investigate further, subsequent chest and pelvis CT scans demonstrated a large lobulated mass in the left breast, measuring approximately 6.5 x 4.8 cm Figure 1).
case_images: Pelvis MRI of a large heterogeneously enhancing pelvic mass lesion with solid and cystic components, measuring about 10 x 10 x 13 cm (APXRLXCC).
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case_images: The imaging suggested this mass was likely a metastatic lesion originating from the ovaries, contributing to the ascites observed on examination (Figure 2).
case_images: Follow-up chest CT scan with oral and IV contrast showed Non-visualization of the previously described left breast mass and a significant decrease in the size of the right lung mass.
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case_images: After completing four cycles of chemotherapy, a follow-up chest CT scan showed significant changes (Figure 3), including a reduction in the size of lung and pleural-based lesions, with the breast mass no longer visible.
case_images: MRI with IV contrast. (A) Brain MRI showed an extra axial dural based enhancing lesion seen in the parafalcine region of the left frontoparietal lobe, measuring about 2.2 x 2 x 0.7 cm, suggestive of metastasis. (B) Spine MRI showed Multiple metastatic bone deposits involving the visualized vertebral bodies.
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case_images: Brain and spine MRI revealed dural, spine, and bone metastases (Figure 4), including involvement of the optic nerve, for which she underwent radiotherapy followed by two cycles of high-dose Ifosfamide chemotherapy.