title: Brain abscess mimicking lung cancer metastases; a case report.
abstract: A 76-year-old woman came to us because of staggering, fever, dysarthria, and appetite loss. Magnetic resonance imaging (MRI) of the brain revealed multiple masses with surrounding edema. Chest X-ray and computed tomography demonstrated a mass-like lesion in the left lung and left pleural effusion. Lung cancer and multiple brain metastases were suspected. However, the brain lesions demonstrated a high intensity through diffusion-weighted MRI. The finding was an important key to differentiate brain abscesses from lung cancer metastases.
authors.affiliation: Department of Respiratory Medicine, Okayama Rosai Hospital, Okayama, 1-10-25 Chikkomidorimachi, Minamiku, Okayama 7028055, Japan.
authors.forename: Michiko
authors.initials: M
authors.lastname: Asano
authors.forename: Nobukazu
authors.initials: N
authors.lastname: Fujimoto
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Fuchimoto
authors.forename: Katsuichiro
authors.initials: K
authors.lastname: Ono
authors.forename: Shinji
authors.initials: S
authors.lastname: Ozaki
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Kimura
authors.forename: Takumi
authors.initials: T
authors.lastname: Kishimoto
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001922:Brain Abscess / Q000175:diagnosis* / Q000188:drug therapy*; D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary; D008279:Magnetic Resonance Imaging / Q000379:methods*; D009617:Nocardia Infections / Q000175:diagnosis* / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents