Metastatic NSCLC and pancytopenia. No focal neurological deficits. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered punctate foci of high T2 signal in the cerebral white matter, without associated enhancement. 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. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, there is partly imaged bilateral cervical lymphadenopathy.
1. A few scattered punctate foci of high T2 signal in the cerebral white matter are nonspecific, but could represent chronic small vessel ischemic disease. Otherwise, no evidence of intracranial metastases. 2. Partly imaged bilateral cervical lymphadenopathy. Dedicated neck imaging may be useful for further evaluation.