42 years Female (DOB:4/14/1973)Reason: Evaluate for brain metastases History: History of metastatic breast cancer with new onset of headaches and vomitingPROVIDER/ATTENDING NAME: RITA NANDA RITA NANDA There are numerous spherical enhancing foci scattered throughout both hemispheres of the brain as well as the cerebellar hemispheres and to a lesser degree brainstem and basal ganglia. There is a greater concentration of these enhancing lesions in the cerebellum compared to the rest of the brain. The largest lesions appear to be in the cerebellar hemispheresThere is a left parafalcine dural based extra-axial small calcified lesion present measuring approximately 8 x 6 mm most likely representing a burned out meningioma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Findings are compatible innumerable metastatic lesions throughout the brain. These are new since the prior exam. There is a greater concentration of lesions in the cerebellum compared to the rest of the brain. 