83-year-old man with history of sarcoma and newly diagnosed lung cancer. There are moderate scattered foci of T2 hyperintensity in the cerebral white matter with associated global parenchymal volume loss. There are also punctate foci of T2 hyperintensity in the left cerebral peduncle. There are no abnormal enhancing lesions. There is a CSF signal arachnoid cyst medial to the left inferior cerebellar hemisphere. 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. There are bilateral lens replacements. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.No evidence of intracranial metastasis.2.Moderate small vessel white matter ischemia and volume loss, likely chronic.