Major depressive disorder, single episode, unspecified [F32.9], Reason for Study: ^Reason: h/o hormone-sensitive breast CA in 2011 with worsening/different migraines, eval for cranial metastases History: vision changes, positional headache No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.Previously described alternating T2 low signal intensity lesions from the brainstem to the upper cervical cord are not seen on today's scan thus confirming the nature of prior findings were artifacts.The ventricles, sulci and cisterns are symmetric and 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.
1. Normal brain MRI.2. No evidence of metastatic lesion on the scan.