Metastatic lung cancer initial staging. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered foci of T2 hyperintensity in the cerebral white matter bilaterally. There is no abnormal intracranial enhancement. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of intracranial metastases. Mild scattered foci of T2 hyperintensity in the cerebral white matter bilaterally are nonspecific, but may represent chronic small vessel ischemic disease. 