Patient with lung cancer presenting with altered mental status and hyponatremia. Evaluate for malignancy. There is no evidence of intracranial metastases. There is no evidence of intracranial hemorrhage, mass effect or acute infarct. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, stable to minimally increased in number compared to 2012. The ventricles and basal cisterns are normal in size and configuration. There is redemonstration of an enlarged CSF space in the posterior fossa, which may represent a mega cisterna magna or arachnoid cyst. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1.No evidence of intracranial metastatic disease.2.Chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.