Acute cystitis without hematuria [N30.00], Reason for Study: ^Reason: metastatic lung cancer History: metastatic lung cancer Previously recognized multifocal enhancing lesions suggesting metastatic foci are not demonstrated on the scan.There is no evidence of acute ischemic or hemorrhagic lesion.Multiple bihemispheric scattered FLAIR/T2 high signal intensities of white matter indicate nonspecific small vessel ischemic disease, unchanged.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. Previously recognized subtle enhancing lesions are not demonstrated on today's scan.2. No evidence of acute ischemic or hemorrhagic lesion. No evidence of abnormal enhancement.3. Nonspecific small vessel ischemic disease, unchanged since prior scan.