Clinical question: Baseline scan prior to starting U. treatment to brain metastases. Signs and symptoms: Metastatic melanoma. Enhanced MRI of brain:This examination was performed after and in few CT of abdomen and no additional contrast was administered for this exam.There is no evidence of any abnormal enhancement of brain parenchymal or leptomeninges to suggest metastatic disease. There is also no evidence of any lytic or sclerotic changes of calvarium to suggest skull metastases lesion.No evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus.Very subtle periventricular low attenuation of brain parenchyma although none is specifically is highly suspected of mild small vessel disease of indeterminate age.Paranasal sinuses and mastoid air cells are well pneumatized and unremarkable.
1.Negative enhanced CT of brain and calvarium for metastatic disease.2.Very minimal small vessel disease of indeterminate age.