Metastatic renal cel carcinoma. There is no significant interval change in the partly enhancing lesion in the right parietal lobe with susceptibility effect and surrounding T2 hyperintensity. There is also no significant interval change in the partly enhancing lesion in the left superior cerebellum with susceptibility effect and surrounding T2 hyperintensity. There is an unchanged background of diffuse cerebral white matter T2 hyperintensity. There is no evidence of acute infarct. 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 unchanged.
No significant interval change in the right parietal lobe and left superior cerebellar lesions.