46 year old female patient with stage III melanoma. Re-evaluate disease status following immunotherapy intolerance (colitis). There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged minimal scattered cerebral white matter T2 hyperintensity. Otherwise, the brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial 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. A T1 and T2 hyperintense lesion within the left parietal skull is unchanged and likely represents a hemangioma. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of intracranial metastases.