 There are no residual enhancing intracranial lesions. There are unchanged punctate foci of susceptibility effect in the left cerebellar hemisphere, left globus pallidus, and bilateral thalami. There is no mass-effect or significant midline shift. There is no evidence of intracranial hemorrhage or acute infarct. There is diffuse cerebral volume loss and extensive areas of T2 hyperintensity within the cerebral white matter. There is also a chronic lacunar infarct in the left caudate head. The skull and extracranial soft tissues are unremarkable. However, there is degenerative spondylosis in the imaged portions of the upper cervical spine.
Post-treatment findings without evidence of residual enhancing metastases.