 Motion artifact degrades image quality. There are enhancing lesions with associated surrounding T2 hyperintensity in the left basal ganglia measuring 7mm, left parahippocampal gyrus measuring 4mm, right temporal stem measuring 5 mm, and inferior right temporal gyrus measuring 3 mm. There is no evidence of intracranial hemorrhage or acute infarct. There are additional scattered punctate foci and confluent areas of abnormal T2 hyperintensity within the periventricular and subcortical white matter as well as the medial temporal lobes, right greater than left, which are nonspecific. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a partially empty sella. The left parotid gland appears to be atrophic. The skull and extracranial soft tissues are otherwise unremarkable.
Multiple intracranial metastases with associated vasogenic edema, but no midline shift or acute hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.