99 year old male with history of fall striking head; rule out bleed. Low attenuation lesions identified in the left posterior parietal region and right posterior parietal region with surrounding edema; given recent MRI, these likely represent metastases with surrounding edema. The appearance is unchanged from previous.There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Unchanged appearance of brain metastases without acute bleed.