Small cell lung cancer. Please evaluate for metastases. There is no evidence of intracranial hemorrhage or acute infarct. There are no areas of pathological enhancement. There are scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which have increased compared to MRI of 10/1/2014. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull and extracranial soft tissues are unremarkable.
1. No evidence of intracranial metastases.2. No evidence of intracranial hemorrhage or acute infarct.3. Interval increased scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic disease and/or treatment related changes.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.