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A real headache!

J. E. Jackson, MRCP, FRCR ^*,* and C. J. O'Donnell, FRACR

^* Department of Diagnostic Radiology, Hammersmith Hospital, Du Cane Road, London W12 0HS Department of Radiology, Royal Melbourne Hospital, Parkville 3050, Victoria, Australia

Correspondence: ^* Author for correspondence.

This excerpt was created in the absence of an abstract.

This 31-year-old female patient had recently undergone a uterine myomectomy. Histology of the resected surgical specimen had demonstrated borderline sarcomatous change in a fibroid and, in view of a complaint of headaches, the patient was referred for further radiological investigation to exclude cerebral metastatic desease. There had been no previous history of trauma. Neurological examination was unremarkable. A plain frontal skull radiograph (Fig. 1) and a computed tomogram at the level of the lateral ventricles, following intravenous contrast medium (Fig. 2), are shown. What abnormalities are present and what are the likely causes for these appearances?

The plain frontal skull radiograph (Fig. 1) demonstrates elevation of the right lesser wing of sphenoid. The computed tomogram (Fig. 2) shows a water-density extracerebral mass over the right cerebral convexity and a higher-density extracerebral collection over the left fronto-parietal convexity, which shows enhancement of its wall.

Received for publication April 1, 1988. Revision received May 1, 1988.