Malignant neoplasm of urethra and mental status changes. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are unchanged scattered foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged 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.
1. No evidence of intracranial metastases, although the images are degraded by patient motion. 2. Unchanged scattered foci of T2 hyperintensity in the cerebral white matter, which are nonspecific, but likely represent chronic small vessel ischemic disease.