 No definite new intracranial metastases are identified. Multiple stable small to punctate intra-axial high intrinsic T1 signal lesions with enhancement are again seen consistent with known metastases. While some of the metastases enhance (for example in the left frontal lobe), enhancement is difficult to ascertain for the remaining lesions which are also intrinsically T1 hyperintense. Largest lesion in the left cerebral hemisphere measures up to 7 mm, unchanged on series 1001 image 13. The largest lesion in the right cerebral hemisphere measures up to 4 mm in the right temporal lobe on series 1001 image 13. None of the lesions exhibit vasogenic edema. There is no hydrocephalus. There is stable somewhat gyriform susceptibility effect in the left precentral gyrus and in the left middle frontal gyrus without enhancement. There is no acute infarct.
No new lesions with stable multiple small pre-existing metastases without vasogenic edema or significant mass-effect.