Figure 2.

Woman with metastatic breast cancer with multiple brain metastases that had a right frontal resection cavity treated with stereotactic radiosurgery 4 weeks after resection of the lesion. She developed significant radiation necrosis possibly caused by radiation recall after a Vinorelbine infusion. The area of contrast enhancement changed dramatically over a year and a half with the only treatment being steroids (no further radiation or surgery to this lesion). Further resection was not an option due to her overall clinical situation