Miliary cerebral calcifications A rare presentation of breast cancer metastasis

A 38-year-old woman with a history of breast cancer presented with dysarthria and limb ataxia. She reported a traveling history with destinations in Asia over the past 10 years. CT showed small calcified lesions (figure 1). MRI showed more small ring-like contrast-enhancing intraparenchymal lesions that followed the course of sulci and folia (figure 2). Differential diagnosis included metastasis and neurocysticercosis. Examination of CSF showed no evidence of malignancy or infection. Definitive diagnosis after brain biopsy confirmed metastasis of breast cancer.(1</SUP)