EANS Case of the Month - April 2017 50 year-old male with new onset of left hemiparesis by Claudiu Matei, MD PhD (1) and Victoria Bîrluțiu, MD PhD (2)1 = Polisano European Hospital, 'Lucian Blaga' University, Sibiu, Romania2 = Sibiu County Emergency Hospital, 'Lucian Blaga' University, Sibiu, Romania A 50 year-old male presented with new onset of left hemiparesis for the past 2 days. The patient was referred to ER of a primary hospital. An urgent cranial CT scan of the head was performed, which revealed right fronto-parietal abnormalities. The patient was transferred to our Hospital. Upon neurological examination the patient appeared conscious, fully orientated, presenting with a mild headache, left hemiparesis (3/5 grade), with standing and walking difficulties. The patient lives in the countryside and works on a farm. His past medical history revealed a non-small cell lung carcinoma with controlled local disease. Question Title Figure 1a. CT scan, native examination, axial cut, reveals a fronto-parietal hypodensity Question Title Figure 1b. CT scan, postcontrast exposure, sagittal view, shows two right fronto-parietal “ring enhancement” lesions Question Title * 1. Based on these images (1a and 1b) and according to the history of the patient and the clinical status, what other test would you like to have? MRI of the Head AIDS tests Inflamatory blood tests Whole body CT scan Next