Malignant neoplasm of unspecified part of unspecified bronchus or lung [C34.90], Reason for Study: ^Reason: restaging lung cancer with brain mets History: na There is no evidence of acute ischemic or hemorrhagic lesion.There is no evidence of abnormal enhancement.Patchy bihemispheric periventricular white matter and centrum semiovale T2/flair high signal intensity lesions are seen, indicating nonspecific small vessel ischemic disease, unchanged since prior scan.Left caudate nucleus chronic lacunar infarct is again seen, unchanged.Multiple supra and infra tentorial susceptibility lesions are seen, indicating either mineralization or chronic hemorrhage, unchanged since prior scan.The ventricles, sulci and cisterns are unremarkable. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.No lens signal are seen bilaterally indicating postoperative status.
1. No evidence of acute ischemic or hemorrhagic lesion. No evidence of abnormal enhancement.2. Unchanged extensive nonspecific small vessel ischemic disease.