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Fig. 3 | BMC Neurology

Fig. 3

From: Extracranial metastases in secondary glioblastoma multiforme: a case report

Fig. 3

Brain and pelvic MRI, Ultrasound, Whole body 18F-FDG PET/CT scan, CT guided biopsy. Legend: Coronal T2-wighted image shows the contemporary stability of the right frontal lesion (A1) with the appearance of a right cervical mass (A1, red arrow). Ultrasound in the right lateral cervical site confirms that the lymph node is increased in size (maximum diameter of 3.5 cm) with pathological structure (A2). Whole body 18F-FDG PET/CT scan shows multiple increased 18F-FDG uptake areas (B). None of them correlates with significant osteostructural alteration on CT scan. Pelvic MRI demonstrates focal signal alterations at sacrum and iliac wing on the right side on T1-weighted axial (C1), STIR (C2), T1 SPIR with Gd (C3), and diffuse signal alteration of both hips and proximal third of the femurs on T2-weighted coronal (C4) and T1 SPIR with Gd (C5). CT guided biopsy performed at the right iliac wing, based on PET images and MRI (D)

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