Known metastatic prostate cancer, now with question of small cell lung cancer, total whole body screening. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable. However, the bone marrow of the clivus and imaged portions of the upper cervical spine display diffuse low T1 signal and enhancement. There is mild bilateral mastoid air cell fluid.
1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Multiple bone metastases.