67-year-old male with metastatic squamous cell carcinoma. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered nonspecific punctate foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. There is mild generalized cerebral parenchymal volume loss with prominence of the ventricles and sulci. There is no midline shift or herniation. The major cerebral flow voids are intact. There is trace mucosal thickening of the ethmoid air cells. The skull, and scalp soft tissues are grossly unremarkable. The left globe is small and deformed, with retinal detachment.
1. No evidence of intracranial metastases or acute infarct.2. Scattered punctate foci of T2 hyperintensity in the cerebral white matter are nonspecific, but may representing chronic small vessel ischemic disease.3. Probable left phthisis bulbi.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.