Other nonspecific abnormal finding of lung field [R91.8], Reason for Study: ^Reason: 80 y/o with newly diagnosed NSCLC please complete staging with brain imaging History: see above There is no evidence of acute ischemic or hemorrhagic lesion. There is no abnormal enhancement.Scattered patchy T2/flair high signal intensity lesions on bilateral periventricular white matter are again seen, indicate nonspecific small vessel ischemic disease, unchanged since prior scan.There are multifocal small lacunar infarcts involving bilateral basal ganglia and brainstem are again seen, unchanged since prior scan.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1.No evidence of acute ischemic or hemorrhagic lesion.2.No evidence of abnormal enhancement.3.Nonspecific small vessel ischemic disease and multiple lacunar infarcts are seen, unchanged since prior scan.