Metastatic urothelial cancer with CT scan showing brain lesions, evaluate in preparation for radiation therapy: nausea/vomiting, CT with brain lesions. There is an ovoid lesion in the left frontal lobe centrum semiovale that measures up to 19 mm. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Treatment planning MRI demonstrates a left frontal lobe centrum semiovale lesion that measures up to 19 mm, which likely represents a metastasis. 