PMC8034995_01
Unremarkable chest X-ray at (a) mania onset and (b) 2 years later, with a mass (arrow) in the right upper lobe of the lung.
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Laboratory blood tests were still unremarkable, but a chest X-ray showed a mass in the right upper lobe of the lung (Figure 1).
Brain MRI (a) 10 months after and (b) 2 years after mania onset, with a brain mass at 2 years (arrow).
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MRI revealed a mass lesion in the left occipito-parietotemporal lobe, sized 8.4 cm x 4.4 cm x 6.0 cm, with a midline shift to the right (Figure 2). Malignant origin was favored, and neurosurgery specialists were consulted for evaluation.