Female, 61 years old, with metastatic breast cancer presenting with weakness, lethargy and altered mental status. No evidence of parenchymal edema, mass effect or pathologic intracranial enhancement is seen. No restricted diffusion is detected. There are numerous scattered small foci of parenchymal T2 hyperintensity scattered throughout both hemispheres and within the pons, similar to the prior examination. No evidence of acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles are normal in size and morphology. Hypointense marrow signal within the left aspect of the clivus is unchanged.
1.No acute intracranial abnormality.2.No evidence of intracranial metastases.3.Findings compatible with chronic microvascular ischemic disease.