Metastatic ovarian cancer needs evaluation for screening on trial IRB 15-0396. Scattered foci of increased T2/FLAIR signal in the subcortical and periventricular white matter. Given the patient's age, this statistically most likely represents chronic small vessel ischemic changes. No acute ischemic infarct.There is no evidence of intracranial hemorrhage, mass or edema. 3-D T1 post contrast images are somewhat limited by wrap around artifact. No definite intracranial foci of abnormal enhancement are identified. The apparent punctate focus of enhancement along the right cerebellum adjacent to the posterior lateral fourth ventricular margin appears vascular in etiology when correlated with multiplane 3-D T1 post contrast imaging. Incidental note is also made of a developmental venous anomaly in the left cerebellum.The ventricles and basal cisterns are normal in size and configuration.The expected intracranial vascular flow voids are present.The paranasal sinuses are clear. The visualized mastoid air cells are clear. The orbits are unremarkable.Small focus of increased intrinsic T1 and T2 signal in the right parietal bone adjacent to the lambda with perhaps minimal enhancement, likely representing a small hemangioma.
1. No evidence of metastatic disease in the brain.2. Mild chronic small vessel ischemic changes.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.