 There is no evidence of acute infarct. Numerous bilateral supratentorial enhancing lesions have decreased in both size and degree of enhancement although the latter may be secondary to technical factors. For example, a left frontal parafalcine lesion measures up to 13 mm, previously 15 mm, and demonstrates decreased surrounding edema and unchanged susceptibility effect compatible with blood products. As an additional example, a right frontal parafalcine lesion previously measured 6 mm and is not currently visible. There are no new lesions. 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 skull and scalp soft tissues are unremarkable. There is minimal mucosal thickening within the maxillary sinuses and minimal fluid within the mastoid air cells. There is a right lens implant.
Improvement of intracranial metastatic disease when compared with the March 5, 2015 MRI.