Female, 67 years old, with history of cholangiocarcinoma presenting with syncope and episodes of diminished consciousness. Evaluate for metastatic disease. Two or three scattered punctate and nonspecific foci of FLAIR hyperintensity are evident within the cerebral hemispheres. No evidence of edema or mass effect is seen. No pathologic parenchymal or extra-axial enhancement is detected. There are no findings to suggest acute intracranial hemorrhage or any abnormal extra-axial fluid. The ventricles are normal in size and morphology.
No evidence of intracranial metastases or any other specific findings to account for the patient's symptoms.