Metastatic lung cancer, EGFR mutated. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is scattered and confluent nonspecific cerebral white matter T2 hyperintensity. 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. There are bilateral lens implants and mild staphylomatous deformity of the globes. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is periodontal enhancement associated with tooth number 3.
1. No evidence of intracranial metastases. 2. Nonspecific cerebral white matter T2 hyperintensity may represent treatment effects or chronic small vessel ischemic disease. 3. Apparent periodontal inflammation associated with tooth number 3. 