Reason: New brain mets, MRI for SRS treatment planning History: None There is redemonstration of punctate enhancing lesions at the grey-white matter junctions in the superior right postcentral gyrus x2 and the left superior frontal gyrus that measure up to 4 mm with minimal associated vasogenic edema. There is a mild degree of periventricular and subcortical confluent hyperintense white matter lesions present identified on the FLAIR and T2 images.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. Punctate metastases in the superior right postcentral gyrus and left superior frontal gyrus. 2. Confluent periventricular white matter signal change is probably treatment related