Intracranial mass in a patient with leukemia: question

Abstract

A 48-year-old woman with history of hypertension, diabetes mellitus, hyperlipidemia, and myeloid leukemia, on nilotinib chemotherapy following a recent blast crisis, presented as a presumed stroke with altered mental status, left upper extremity weakness, nausea, and vomiting. The patient was reportedly normal approximately 12 hours prior. At the time of examination, the patient was drowsy and unable to corroborate her own history. She was able to answer appropriately for date, name, and commands. Speech was dysarthric. Motor testing of extremities demonstrated 5/5 strength in the right extremities, 2/5 strength in the left extremities, with a left facial droop. Initial imaging demonstrated a hyperdense, likely hemorrhagic, ovoid mass along