Visual changes in the left eye. Malignant neoplasm of kidney. Rule out metastases. Brain MRI appears within normal limits for patient's age. No intracranial mass or mass-effect. No abnormal parenchymal or meningeal enhancement. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved. Mild global parenchymal volume loss.Sella and orbits are grossly within normal limits. Minimal mucosal thickening in the paranasal sinuses and mild opacification of the mastoid air cells. Bone marrow signal and extracranial soft tissues are otherwise within normal limits.
Brain MRI appears within normal limits for age. No evidence of intracranial metastatic disease.