Conclusion: Hemorrhagic intracranial metastases show various shapes and should be differentiated as followings: the nodular type from simple brain hemorrhage, the ring type from brain abscess, the focal hemorrhage type from primary malignant brain tumors. 结论:脑转移瘤出血形态多样,结节肿块型脑转移瘤出血需要与单纯性脑出血鉴别,环型需要与脑脓肿鉴别,而灶样出血型主要应与各种脑原发恶性肿瘤相鉴别。