Reason: 57 y/o with seizure disorder, recently diagnosed cervical cancer and new cerebellar lesions on MRI. Study for biopsy planning Exam was obtained for surgical localization purposes. There is redemonstration of a 1.9 x 1.0 cm enhancing lesion in the left cerebellum with a small amount of surrounding vasogenic edema. Additionally, a 0.6 cm lesion in the anterior inferior right cerebellum also appears similar to prior examination.Redemonstrated are scattered areas of T1 hypointensity and T2 hyperintensity are demonstrated in the periventricular and subcortical white matter correlating to areas of T2/FLAIR hyperintensity seen on prior examination, likely secondary to chronic microvascular ischemic change. The cortical sulci are in proportion to the cerebral ventricles. No midline shift or mass effect is appreciated. Incidental empty sella is noted.
Stable left greater than right enhancing cerebellar lesions concerning for metastatic disease.