H/o breast cancer. Examination demonstrates a focal hypodensity lateral to the left insular fissure, corresponding a metastatic lesion on the previous MRI. The brain is otherwise normal in attenuation and morphology. There is no intracranial hemorrhage, mass effect, edema, midline shift or abnormal extra-axial fluid collection.There is a focal area of lytic change in the left frontal bone. The visualized paranasal sinuses are well cells are normally pneumatized.
1. Left temporal metastatic lesion. An infused exam is suggested for further evaluation. 2. Metastatic lesion in the left frontal bone. 