Male, 78 years old, history of renal cell carcinoma and metastatic prostate cancer with asymptomatic brain lesions. Evaluate for stability or growth. Scattered small foci of enhancement are redemonstrated including a 5 mm lesion in the right insula and smaller lesions along the paramedian right frontal lobe, the right superior frontal gyrus and in the left pons. These lesions have not increased in size and may even be slightly less conspicuous than on the prior examination. As before, there are associated with mild susceptibility effect suggesting chronic blood product.No definite evidence of any new parenchymal lesion is seen. No significant edema or mass effect is detected. No abnormal extra-axial collections are observed. Ventricles are normal in size and morphology.Multiple enhancing skull lesions are identified, some of which may be slightly increased in size. However accurate comparison is difficult and most of the lesions are unchanged.
1.Several small enhancing parenchymal lesions are stable to slightly smaller.2.No new intracranial lesions.3.Multiple skull lesions are demonstrated, most which show no significant change. A few may be slightly larger but accurate comparison is difficult.