History of leptomeningeal carcinomatosis related to breast cancer. There is no evidence of recurrent abnormal leptomeningeal enhancement. There is also no evidence of abnormal intraparenchymal enhancement. There is unchanged nonspecific patchy T2 hyperintensity in the periventricular white matter, particularly in the parietal regions, which may be treatment-related. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged 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 unchanged. There are inflammatory changes in the left paranasal sinuses.
1. No evidence of recurrent leptomeningeal carcinomatosis.2. No evidence of intraparenchymal metastases.3. Findings suggestive of left-sided sinusitis.