Diagnostic difficulties in a case of multifocal changes in the brain in computerized tomography and in magnetic resonance imaging

: This paper presents a case of multifocal metastases in the brain, which on the basis of typical imaging magnetic resonance and computerized tomography suggested possible parasitic changes (cerebral cysticercosis). On the basis of these pictures cerebral cysticercosis was diagnosed, in spite in the absence of serologic changes in blood and cerebrospinal fluid. The lack of improvement after anticysticercosis drugs, the further course of the disease as well as new foci located in other organs outside the brain, allowed to recognize numerous metastases in the brain although until the end of the clinical observation the primary lesion of the neoplasm was not found. The histopathological examination of samples of brain tissue confirmed the diagnosis of numerous metastases of poorly differentiated carcinoma.