52-year-old female with a history of breast cancer presenting with syncope and new vertigo. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved. The left superior ophthalmic vein appears larger than the right, likely a normal variant.Sella and orbits are grossly within normal limits. Mucosal thickening of the left sphenoid sinus. Otherwise, the remaining paranasal sinuses and mastoid cells are clear. Bone marrow signal and extracranial soft tissues are within normal limits.
No evidence of intracranial metastasis.