planning for SRS, history of NSCLC and brain mets. Multiple enhancing lesions indicating brain metastasis were again demonstrated.In particular, three supratentorial lesions including bilateral paracentral lobule lesions and left occipital lobe lesions, and bilateral cerebellar hemispheric lesions do not show any interval change since prior exam.There is no evidence of acute intracranial hemorrhage or acute ischemic infarct. There is no midline shift or herniation. The ventricles and basal cisterns are unchanged in size and configuration. The skull, orbits, and scalp soft tissues are unremarkable. There is scattered paranasal sinus mucosal thickening.
1. No change of multiple enhancing metastatic lesions supra and infratentorially as described above since prior exam.2. No evidence of acute ischemic or hemorrhagic lesion.