New lung squamous cell carcinoma. There is mild scattered cerebral white matter T2 hyperintensity bilaterally and several punctate foci of susceptibility effect in the bilateral thalami, basal ganglia, temporal lobes, and occipital lobes. There is no evidence of enhancing mass lesions, although the postcontrast images are somewhat degraded by patient motion. There is no evidence of acute infarct. 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, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is degenerative spondylosis in the imaged upper cervical spine with indentation of the spinal cord at C3-4.
1. No definite evidence of enhancing metastases.2. Several punctate foci of susceptibility effect in the bilateral thalami, basal ganglia, temporal lobes, and occipital lobes are nonspecific, but may represent chronic hypertensive microhemorrhage.3. Mild scattered cerebral white matter T2 hyperintensity bilaterally is nonspecific, but may represent chronic small vessel ischemic disease.4. Degenerative spondylosis in the imaged upper cervical spine with indentation of the spinal cord at C3-4.