Neuroradiology - Case Report 2016

Gadolinium leakage into subarachnoid space and cystic metastases

10.5152/dir.2013.040

  • Adalet Elçin Yıldız,
  • Eray Atlı,
  • Kader Karlı Oğuz

Received Date: 04.09.2012 Accepted Date: 14.10.2012 Diagn Interv Radiol 2013;19(3):187-190

Subarachnoid space (SAS) and cystic metastatic lesions of brain parenchyma appear hypointense on fluid-attenuated inversion-recovery (FLAIR) and T1-weighted magnetic resonance imaging (MRI) unless there is a hemorrhage or elevated protein content. Otherwise, delayed enhancement and accumulation of contrast media in SAS or cyst of metastases should be considered. We present hyperintense SAS and cystic brain metastases of lung cancer on FLAIR and T1-weighted MRI, respectively, in a patient who had been previously given contrast media for imaging of spinal metastases and had mildly impaired renal functions, and discuss the relevant literature.