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brain metastases are not good

Here’s an image below showing serial MRI slices through the brain of patient I saw today who was admitted to our hospital for several months of headache and recent onset weakness:

Each one of those little white dots (numbering over 20-30 in total) is a suspected brain metastasis (try clicking on the image to blow it up and make it clearer) from an unknown primary cancer that we’re hunting for right now.  Even if those white dots aren’t brain metastases (let’s hope so for the patient’s sake), as one attending physician commented this morning, nothing good could produce a brain MRI like that. 

Just another reminder to enjoy life and not sweat all of the daily bullshit we deal with–it could be much worse.

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