 There is interval worsening of intracranial metastases. For example:1.Worsened right postcentral gyrus enhancing irregular lesion measuring 12 x 12 mm, previously 5 mm, with susceptibility effect, and new moderate surrounding vasogenic edema.2.New right frontal lobe enhancing lesion measuring 4 mm on series 1301 image 105.3.New right basal ganglia lesion measuring 4 mm on series 1301 image 98.4.New/worsened left cerebellar hemispheric nodules measuring 6 mm and 4 mm respectively on series 1301 image 33.There is no acute infarct, midline shift or herniation. There is nonspecific bilateral mastoid high T2 signal, decreased on the left from the prior exam.
Interval worsening of intracranial metastases as described above. In particular, there is a larger dominant right postcentral gyrus enhancing lesion with new moderate surrounding vasogenic edema.