Metastatic breast cancer. There is an enhancing left parietal bone lesion that measures up to 16 mm. There is also sclerotic areas in the posterior calvarium. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is encephalomalacia in the anterior right temporal lobe. There are also a few scattered punctate foci of nonspecific T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are grossly unremarkable.
1. Skull metastases but, no evidence of intracranial metastases. 2. Right anterior temporal lobe encephalomalacia.