History of lung cancer, evaluation for metastasis. Generalized weakness. No evidence of acute ischemic or hemorrhagic lesion.Minimal brain atrophy which is age appropriate.Multifocal scattered small high signal intensity lesions on FLAIR imaging indicating nonspecific small vessel ischemic disease. No change since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.