Reason: 38 y/o female with reports of hallucinations/ delusions/confusion. On Clinical Trial for metastatic rectal carcinoid History: see above. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered periventricular and subcortical punctate T2 hyperintensities which are nonspecific and may treatment related or secondary to prior inflammation. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. A cavum septum pellucidum is incidentally noted. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull and scalp soft tissues are grossly unremarkable. Mild mucosal thickening of the right maxillary sinus. A partial empty sella is noted, which may be a normal variant or associated with intracranial hypertension in the appropriate clinical setting.
No evidence of intracranial metastases.