Gastroesophageal cancer and multiple episodes of syncope. There is a punctate (2 mm) focus of enhancement in the superior right postcentral gyrus grey-white junction. There is no evidence of intracranial hemorrhage or acute infarct. There are a few nonspecific punctate foci of cerebral white matter T2 hyperintensity. There is a cystic lesion that measures up to 10 mm in the anterior right temporal lobe. 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. There is a non-enhancing ovoid lesion in the left occipital scalp that measures up to 22 mm, which likely represents an inclusion cyst. There is an intrinsically T1 hyperintense lesion in the left parietal calvarium, which may represent a hemangioma.
1. A punctate focus of enhancement in the superior right postcentral gyrus grey-white junction may represent metastatic disease. 2. A cystic lesion that measures up to 10 mm in the anterior right temporal lobe may represent a neuroglial cyst or prominent perivascular space, for example.