 The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of pathological enhancement appreciated. There is no diffusion restriction appreciated. No extra-axial fluid collection is identified.There is a single punctate focus of signal hyperintensity on T2 and FLAIR MRI in the right frontal lobe white matter which is unchanged from the previous study. This is nonspecific and likely of little clinical significance.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits. There is mucosal thickening of the paranasal sinuses.
1.No evidence for brain metastases.