Patient with history of breast cancer. And question of brain mass. Complains of headaches and nausea An anatomical venous anomaly in high convexity left parietal output should clinical significant is noted. Heavily calcified mass at the level of pineal gland measures 14.7 mm times 16-mm on axial image 15. The calcification has a ring appearance with central area of non-enhancing tissue on this examination. Further evaluation with a dedicated post infused MRI of the brain is recommended. There is no evidence of any associated edema with this findings. No areas of hydrocephalus is detected. Large area of low-attenuation adjacent to the left lateral ventricle and extending inferiorly into the basal ganglia is consistent with an old stroke. No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus is present. No evidence of metastatic lesion is detected. Calvarium, mastoid air cells and paranasal sinuses are also unremarkable.
1.No evidence of metastatic disease to the brain.2.Heavily calcified ring lesion with no definitive enhancement at the level of the hiatal gland that should be further evaluated with a dedicated MRI. This finding has a benign appearance.