Large brain metastasis not shown by computerized tomography.

We have described a patient with metastatic small cell carcinoma of the lung in whom cranial CT and contrast-enhanced CT failed to show metastases. When the patient died four days later, two sizable intracerebral metastatic foci were found at autopsy. Reviewing previously reported causes of nonvisualization of lesions, we have speculated on reasons for the lack of CT findings in this case.