Malignant neoplasm of unspecified site of right female breast [C50.911], Reason for Study: ^Reason: DIZZINESS, METASTATIC BREAST CANCER History: ABOVE There is an approximately 1.8 x 1.2 cm enhancing and ill-defined lesion within the medullary space of the right frontal calvarium. There is a suggestion of adjacent dural thickening. The cortical sulci are in proportion to cerebral ventricles. A few scattered foci of T2/FLAIR hyperintensity are demonstrated in the periventricular white matter without restricted diffusion. No midline shift or mass effect is appreciated. No abnormal parenchymal enhancing lesions are identified. There is no diffusion restriction abnormality. No intracranial hemorrhage is identified. The paranasal sinuses are grossly unremarkable.
1. There is an approximately 1.8 cm x 1.2 enhancing and ill-defined lesion in the right frontal calvarium with possible adjacent dural thickening, suspicious for metastasis.2. A few foci of T2/FLAIR hyperintensity in the periventricular white matter are most likely secondary to mild chronic microvascular ischemic change.