 There are 3 intracranial metastases. The largest measures 10 x 9 mm, contains minimal intrinsic T1 hyperintensity and susceptibility effect compatible with hemorrhage, and is located within the medial right frontal lobe anteriorly (superior frontal gyrus). There is mild edema associated with this lesion. In addition, there is a 4 x 6 mm enhancing lesion within the left frontal lobe (left middle frontal gyrus) and a 4 x 4 mm lesion within the right occipital lobe without significant edema. There is no midline shift or herniation. There is no evidence of acute infarct. The ventricles and basal cisterns are normal in size and configuration. The major cerebral flow voids are intact. Bone marrow signal is heterogeneous is nonspecific; no discrete destructive osseous lesions.
Three enhancing lesions involving the bilateral frontal lobes and right occipital lobe consistent with metastases. There is minimal hemorrhage and edema associated with the right frontal lesion without midline shift or herniation. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.