Hard to Get (PowerPoint)

Loss of vision OD; Right-sided headacheA 77-year old male with headache and visual loss OD. Previous history significant for hypertension, ischemic heart disease, basal cell carcinoma and invasive transitional cell carcinoma Tx cystectomy and chemotherapy.VA: CF OD; 20/25 declining to NLP OD, 20/30 OS; Color plates: 0/14 OD, 14/14 OS; RAPD ODCT; MRIClusters of atypical cells with epithelial features and mitoses consistent with carcinoma.IV and oral corticosteroids; Antineoplastic agentsN/Acurriculum_fellow; VBmeningealcarcinomatosi