37 years, Female, metastatic cervical cancer, referred for SRS. Examination is obtained for treatment planning with limited sequences obtained. Multiple enhancing lesions are seen in the brain as below:1) Right occipital lesion measuring 3x4 mm, image 89 series 401.2) Right posterior cerebellar hemispheric lesion measuring 4x5 mm, image 40 series 401.3) Left inferior cerebellar lesion measuring 9x9 mm, image 37 series 401.4) Left inferior cerebellar lesion measuring 5x6 mm, image 38 series 401. 5) Left inferior cerebellar lesion measuring 3x2 mm, image 41, series 401No associated hemorrhage on the susceptibility sensitive sequence. There is mild degree of vasogenic edema involving the left cerebellar hemisphere.Enhancing right occipital calvarial lesion measuring 9 x 7 mm also seen with some intrinsic T1 hyperintensity noted on the prior study .
1. Five subcentimeter enhancing lesions involving the right occipital lobe and bilateral cerebellar hemispheres as detailed above consistent with metastatic disease.2. Enhancing right occipital calvarial lesion is nonspecific; osseous metastasis not excluded.