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Fig. 1B —58-year-old woman treated with tumor reductive surgery and chemotherapy for stage IV papillary serous adenocarcinoma of the ovary. Patient showed good initial response to chemotherapy, with reduction in size of residual tumor and hepatic metastases. She presented with dizziness and left-sided weakness 1 year after initial diagnosis. T2-weighted axial unenhanced MR image of brain (A) shows heterogeneous metastasis (long arrow) in pons with mass effect on fourth ventricle. Another similar lesion is noted in left cerebellum (short arrow). T1-weighted axial MR image of brain after administration of IV gadolinium (B) shows heterogeneous enhancement in both metastatic lesions.