 There are multiple foci of abnormal enhancement within both the supratentorial and infratentorial brain. The larger lesions are associated with vasogenic edema and susceptibility abnormality suggesting internal hemorrhage. The largest of these measures up to 21 mm in maximal dimension and is located in the posterior left frontal lobe.The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are is no midline shift. The pituitary gland is normal in size. There is no evidence for acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
Multiple brain metastases, the largest of which is 21 millimeters in maximal dimension located in the posterior left frontal lobe.