PMC6189680_01
Numerous atypical epithelial clusters were present in the CSF. These atypical cells have eccentric large hyperchromatic nuclei and scant cytoplasm. Some cells show vacuolar changes.
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fig1
Diagnostic lumbar puncture was performed the next day, which revealed carcinomatous cells of ovary origin in the cerebrospinal fluid (CSF) (Figure 1).
Cranial-enhanced MRI T1-weighted images reveal abnormal linear hyperintensity mainly on the left lateral lobe.
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fig2
Magnetic resonance imaging (MRI) demonstrated abnormal hyperintensity in the cerebral sulci, mainly in the left lateral, occipital lobes, and folia in the cerebellar hemispheres and vermis on FLAIR with enhancement after gadolinium injection (Figure 2).
PMC6189680_02
Axial T2-weighted brain MRI scan shows a solitary metastatic lesion in the right temporal lobe with brain edema.
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fig3
A solitary tumor was found in the right lateral lobe (diameter 3 cm) on cranial MRI and a suspected relapse of the ovarian carcinoma was determined (Figure 3).