We present a 62-year-old man with progressive vomiting, headache, short-term memory impairment, and left lower limb hyposthenia….Bone needle biopsy documented TTF1+ lung adenocarcinoma….Next-generation sequencing reported deletion of exon 19 of EGFR and mutation 8 of TP53. Osimertinib 80 mg was promptly started and WBRT interrupted....Radiologic evaluation, including brain MRI and thorax-abdominal CT, showed partial response on CNS as well as extracranial sites, which was sustained.