Recurrent breast cancer with headache/blurring of vision. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered nonspecific foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is left maxillary sinus mucosal thickening.
No evidence of intracranial metastases.