Metastatic cancer. There is an enhancing mass that measures up to 15 mm in the right temporal bone squamosal portion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is nonspecific mild scattered cerebral white matter T2 hyperintensity. There are small chronic lacunar infarcts in the bilateral cerebellar hemispheres. There is no abnormal intracranial 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. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Right temporal bone metastasis, but no evidence of brain metastases. 