 Enhancing left occipital lobe lesion measures 7 x 4 mm (series 401, image 70), previously measuring 8 x 5 mm.Enhancing right inferior lateral cerebellar lesion measures 8 x 6 mm (series 401, image 42), previously measuring 8 x 7 millimeters.Two enhancing lesions within the subcutaneous tissues of the occipital scalp with the midline lesion measuring 11 x 7 mm (series 401, image 35), previously measuring 12 x 7 mm. The lesion to the right of midline is decreased in size compared to previous examination. The marrow signal otherwise is within normal limits.Additional three punctate enhancing foci superficial in the cortex in the frontal lobes are noted (series 402, image 129 and 151; series 403, image 131). No evidence of acute intracranial hemorrhage or midline shift. No significant interval change in the size and morphology of the ventricles. Mild mucosal thickening of the left maxillary sinus; otherwise, the visualized paranasal sinuses and master air cells are clear.
1.No significant interval change in the left occipital lobe metastatic lesion.2.No significant interval change in the right inferior cerebellar metastatic lesion.3.Two enhancing subcutaneous nodules in the occipital scalp. No significant interval change in size of the midline nodule. The nodule right of the midline has decreased in size.4.Three additional punctate enhancing foci superficial in the cortex.