 There are numerous (greater than 10) intra-axial heterogeneously enhancing metastases, predominantly in the supratentorial brain and possibly a single 2-mm enhancing nodule in the superior aspect of the left cerebellar hemisphere on series 1300 image 117. A few representative lesions and measurements are as below:1.right temporal/occipital region on series 14 image 18 measuring 16 x 19 mm with moderate surrounding vasogenic edema2.left parietal lobe measuring 13 x 16 mm on series 14 image 11 with mild surrounding vasogenic edema3.left inferior parietal lobule measuring 13 x 11 mm on series 14 image 9 with moderate surrounding vasogenic edema and susceptibility effect suggesting hemorrhagic lesionThere are multiple other lesions scattered in the supratentorial brain with mild to moderate degrees of surrounding vasogenic edema. There is a background of numerous small scattered T2 hyperintensities in the supratentorial brain and in the central pons which are nonspecific. There is no acute infarct, herniation or midline shift.
Numerous intra-axial metastases as described above, the largest in the right temporal/parietal region.