Other visual disturbances [H53.8], Reason for Study: ^Reason: rule out mets History: rule out mets There is a rim-enhancing nodular intra-axial lesion measured about 5.5 mm on the left anterior-inferior cerebellar hemisphere, the size and signal characteristics do not show any interval change since prior scan performed on October 24, 2015 orbit MRI. This lesion is consistent with metastatic nodule.Redemonstration of a 7 x 14 mm sized left intraorbital enhancing lesion, no change since prior scan.Choroidal detachment and orbital enhancement are again demonstrated, no change since prior scan. However, perirectal soft tissue enhancement appears to be slightly lessened than prior scan.There is no evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci and cisterns are symmetric and unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Retention cyst on the left maxillary sinus.
1. About 5 mm sized brain enhancing intra-axial lesion on the left inferior anterior aspect of cerebellar hemisphere, consistent with metastatic lesion.2. No interval change of left orbit enhancing lesion with choroidal detachment since prior scan. However, periorbital soft tissue enhancement appear to be slightly lessen since prior scan.3. No evidence of acute ischemic or hemorrhagic lesion.