Secondary malignant neoplasm of brain [C79.31], Reason for Study: ^Reason: brain mets (breast primary) History: radiation planning Numerous various sized intra axial enhancing lesions on bilateral cerebral and cerebellar hemispheres as well as basal ganglia and deep white matter indicating multiple metastatic nodules. The largest one is on the left temporal lobe which is measured about 7mm indicating interval increase in size. Again the left thalamic developmental venous anomaly is seen, no change since prior scan.No evidence of acute hemorrhagic lesion on the scan.The ventricles, sulci and cisterns are symmetric and unremarkable. The paranasal sinuses and mastoid air cells are clear.
1. Multiple various sized metastatic nodules found on supra and infratentorially.2. Interval increase in size of enhancing lesions especially lesions at the left temporal lobe and the right basal ganglia since prior scan. 