Symptoms Headache Nausea Shivering BP: 150/90 mmHg History of carcinom

Symptoms Headache Nausea Shivering BP: 150/90 mmHg History of carcinoma breast, status post chemotherapy Investigations MRI Brain (Plain + Contrast): Ill-defined 16 × 14 mm lesion in the left medial temporal lobe Moderate heterogeneous contrast enhancement Surrounding vasogenic edema Mass effect with effacement of the left temporal horn of the lateral ventricle No midline shift Rest of brain parenchyma unremarkable Radiology Impression: Neoplastic lesion (?Glioma) favored over infective etiology (?Conglomerate tuberculoma) In the setting of prior breast cancer, solitary brain metastasis remains an important differential. Further oncologic evaluation (PET-CT/systemic staging) and neurosurgical/oncology consultation advised.

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