Malignant neoplasm of unspecified ovary [C56.9], Reason for Study: ^Reason: patient with metastatic ovarian cancer, medullary lesion seen on MRI cervical spine concerning for new metastatic brain disease History: abnormal cervical MRI, metastatic ovarian 56 years Female (DOB:10/17/1960)Reason: patient with metastatic ovarian cancer, medullary lesion seen on MRI cervical spine concerning for new metastatic brain disease History: abnormal cervical MRI, metastatic ovarian cancerPROVIDER/ATTENDING NAME: HEDY L KINDLER There are multifocal bihemispheric supra and infratentorial enhancing nodules including right medullary lesion with some lesions are associated surrounding edema are seen, compatible with metastatic lesions.There is no evidence of acute ischemic or hemorrhagic lesion.The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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. Multifocal various sized supra and infratentorial enhancing nodular lesions indicating multifocal metastasis.2. No acute ischemic or hemorrhagic lesion.