Female, 83 years old, with small cell lung cancer, initial staging exam. No intracranial enhancing lesions are seen. No evidence of parenchymal edema or mass effect is detected. Extensive patchy T2 hyperintensity is seen within the periventricular white matter and the pons. No intracranial hemorrhage or any abnormal extra-axial fluid collections are detected. Sulcal and ventricular prominence is seen indicating a mild degree of parenchymal volume loss.
1.No evidence of intracranial metastatic disease.2.Fairly extensive chronic microvascular ischemic disease.