60 year-old male with lung cancer and brain metastases now with acute onset left hemiparesis evaluate for stroke. Hyperdense focus identified in the right occipital region corresponds to hemorrhagic metastatic lesion on recent MRI. Other lesions from MRI heart difficult to identify on the current examination. No definite new lesions are identified. No evidence of new bleed. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Hyperdense focus corresponding to hemorrhagic metastatic lesion seen on recent MRI seen in right occipital lobe. No other acute findings are seen.