A 71-year-old man was admitted to a hospital with an altered mental status for the last three weeks. The patient’s history revealed that he was diagnosed with adenocarcinoma of the colon. Furthermore, his previous scan showed metastatic lesions in his lung and bones. A gadolinium-enhanced magnetic resonance image of the brain was performed (Please refer to cover image) that revealed the presence of multiple brain lesions. What would be the most likely diagnosis in this case? A.

Group D streptococcus abscesses  B. Neurocysticercosis  C. Metastatic adenocarcinoma  D. Tuberculosis Source: The New England Journal of Medicine *This image challenge is from the medical communication team of Docplexus and is meant for educative purposes only. The answer is posted in the comment section. Stay connected!