Lung cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are small areas of encephalomalacia in the right cerebellar hemisphere. There are also mild scattered periventricular and subcortical white matter T2 hyperintensities, which are nonspecific, but compatible with chronic microvascular ischemic disease. There is no abnormal parenchymal or leptomeningeal 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. There is mild scattered paranasal sinus mucosal thickening. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is partially-imaged degenerative spondylosis at C4-5.
1. No evidence of metastatic disease.2. Chronic right cerebellar infarcts. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.