75-year-old male with a history of melanoma and recently diagnosed lung cancer (poorly differentiated carcinoma). No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size. There is mild asymmetry of the lateral ventricles.Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with chronic small vessel ischemic changes. There are two punctate foci of susceptibility in the bilateral occipital lobes compatible with chronic microhemorrhages and nonspecific. Brain parenchyma is otherwise unremarkable for age.No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Scattered minimal mucosal thickening in the paranasal sinuses. There is opacification of the right mastoid air cells. Bone marrow signal and extracranial soft tissues are within normal limits.
1. No evidence of intracranial metastatic disease.2. Minimal chronic small vessel ischemic changes.