A chest X-ray of Marilyn Day, 76, revealed a suspicious lung mass several weeks after she had been admitted to Firelands Regional Medical Center. She was suffering from leg weakness, confusion and disorientation when she was admitted. A repeat X-ray showed the mass had shrunk.
An MRI of the brain revealed multiple ring-enhancing lesions with restricted diffusion, consistent with a brain abscess or metastatic cancer. Neurologist Dr. Jean Barylski Danner examined Day and reviewed the MRI. She told Day’s family that she was likely suffering from metastatic brain cancer.
Testing for lung cancer was negative. After an infectious disease consultation, and a week after Day’s consultation with Dr. Barylski Danner, she was administered antibiotics to treat a brain abscess. A neurosurgeon performed an aspiration procedure.