Metastatic esophageal cancer: please assess for CNS involvement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are numerous scattered T2 hyperintense foci within the cerebral white matter. There is no abnormal intracranial enhancement. There is mild cerebral volume loss. 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 a small right sphenoid sinus retention cyst.
Numerous nonspecific scattered T2 hyperintense foci within the cerebral white matter, but no evidence of intracranial metastases.