Clival metastasis Case 1Case 2 55-year-old patient with lung cancer presented with diplopia. MRI showed a destructive and enhancing clival lesion that extended into the pituitary fossa and suprasellar space. A 60-year-old patient with a recent lung cancer diagnosis presented wiht headache and diplopia. CT showed a destructive lesion in the clivus and pitutiary fossa. MRI showed a heterogeneously enhancing lesion invading the left cavernous sinus.