Metastatic NSCLC to brain status post SRS. The peripherally-enhancing left parietal lobe lesion is unchanged in size, measuring up to 4 mm in diameter. There is also an unchanged punctate focus of susceptibility effect in the right occipital lobe. There are scattered nonspecific punctate foci of susceptibility effect in the bilateral cerebral hemispheres. There is also unchanged nonspecific scattered T2 hyperintensity in the cerebral white matter. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is an unchanged small right face skin excrescence.
Unchanged treated small left parietal lobe lesions and scattered nonspecific punctate foci of susceptibility effect in the bilateral cerebral hemispheres.