Metastatic esophageal cancer to brain. There is an unchanged punctate left cerebellar hemisphere lesion. However, there are several newly apparent enhancing subcentimeter lesions with mild vasogenic edema in the left parietal and occipital lobes. There is no evidence of acute infarct. 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 orbits, skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the maxillary sinuses.
1. Unchanged treated punctate left cerebellar hemisphere metastatic lesion. 2. Several newly apparent subcentimeter lesions in the left parietal and occipital lobes likely represent additional metastases. 