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Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: The diagnostic value of MR spectroscopy versus DWI-MRI in therapeutic planning of suspicious multi-centric cerebral lesions

Fig. 3

“A 52-year-old female patient” with known primary breast Ca, MRI exam revealed multiple semi-defined intra-axial SOLs shown in images at cerebellum and both cerebral hemispheres, iso-hypointense at T1 (a) and hyper at T2 (b) that surrounded with moderate edema. DWI and ADC map (c, d) showed diffusion restriction with low ADC values. Post Gad (e) showed peripheral nodular contrast enhancement. MRS (f, g) revealed marked reduction of NAA and Cr peaks with elevated Cho within the lesions with normal pre-lesional metabolites. MRI diagnosis: metastatic breast Ca. Pathology: proved metastatic deposits

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