History of lung cancer, evaluate for possible brain metastases. There are multiple adjacent subcentimeter nodular areas of intraparenchymal enhancement in the right frontal lobe adjacent to the right superior frontal sulcus that are not appreciably changed from the prior study. There is surrounding hyperintense T2/FLAIR signal compatible with edema that is stable to slightly decreased. A subtle, curvilinear enhancing focus in the lateral aspect of right temporal lobe is also unchanged. No new or enlarging lesions.Scattered foci of T2/FLAIR hyperintensity in the periventricular and subcortical white matter are compatible with mild chronic small vessel ischemic disease. There is a stable focus of susceptibility in the right frontal lobe compatible with chronic microhemorrhage. There is no new mass or mass effect. There is no new parenchymal or meningeal enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. A T1 hyperintense lesion in the left occipital condyle is unchanged and may represent a treated metastasis or benign lesion such as a hemangioma.
No significant change in size or appearance of enhancing lesions in the right frontal and right lateral temporal lobes with stable to slight decrease in edema surrounding the right frontal lobe lesion. No new or enlarging enhancing lesions to suggest progression of metastatic disease. Suggest continued follow-up.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.