Diagnosis: Secondary malignant neoplasm of brainClinical question: metastatic melanoma; brain metsSigns and Symptoms: assess for EOD The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 17 x 19 mm axial dimension ring-enhancing lesion present along the left cuneus associated with susceptibility effect and surrounding T1 hypointensity and T2 hyperintensity compatible with vasogenic edema.
1.There is a left occipital lobe mass present which is compatible with neoplasm. Given the patient's clinical history of melanoma, metastasis is suspected.2.Please note that this is a limited exam for the purposes of image guidance for treatment planning.