Possible metastasis: cervical cancer, seizures, waxing/waning mental status. There is an enhancing lesion in the left cerebellar hemisphere that measures up to 19 mm, with mild surrounding vasogenic edema. There is also an enhancing lesion in the inferior right cerebellar hemisphere that measures up to 5 mm. There are a few scattered cerebral white matter T2 hypointense lesions without associated enhancement. There is no evidence of acute infarct or intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is a partially empty sella. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There are mild scattered paranasal sinus secretions.
A lesion in the left cerebellar hemisphere and a smaller lesion in the right cerebellar hemisphere likely represent metastatic disease, but no evidence of intracranial hemorrhage or acute infarct. A few scattered cerebral white matter are nonspecific, but may represent chronic small vessel ischemic disease. 