Pleural mesothelioma, baseline MRI. No findings to suggest intracranial metastatic disease. No intracranial mass or mass-effect. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. The ventricles are within normal limits in size and configuration. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. No abnormal parenchymal or meningeal enhancement to suggest metastatic disease. There is a right parietal developmental venous anomaly which is incidentally noted. There is also an enhancing nodular focus measuring approximately 8 mm at the vertex which may represent a small varix. Major flow-voids are preserved.Sella and orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
No evidence of intracranial metastatic disease.