Video presentation of the case of a 60+ year old lady with metastatic lung cancer to the brain who underwent radiation treatment to the brain tumors, however, one of the tumors continued to grow resulting in paralysis. Treating team were considering hospice care, but the case was referred to Dr. Limonadi who proceeded with surgical resection of the large tumor. Case presentation by Dr. Farhad Limonadi MD, director of neurosurgery at Eisenhower Medical Center. Edited by Camus Yu