New lung cancer diagnosis. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are numerous scattered foci of T2 hyperintensity in the bilateral cerebral hemisphere, which are nonspecific and may represent chronic small vessel ischemic disease. There is no abnormal intracranial enhancement. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. There appears to be a 6 mm diameter left paraclinoid aneurysm. The skull and scalp soft tissues are grossly unremarkable. There are secretions in the left anterior ethmoid sinus. There are bilateral lens implants.
1. No evidence of intracranial metastases. 2. Apparent 6 mm diameter left paraclinoid aneurysm. Dedicated cerebrovascular imaging may be useful for further evaluation.Discussed with Dr. Olugbile at 4:40 PM on 5/16/16.