Newly diagnosed extra-pulmonary small cell cancer. Assess for brain involvement (PET scan with brain uptake). There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is deformity of the left inferior orbital wall, which may represent a fracture.
No evidence of intracranial metastases.