History of lung carcinoma with metastases to brain and bones status post whole brain radiation therapy completed on 3/28 and is on Tarceva. Please compare to prior study. There is no intracranial mass or mass effect. No convincing abnormal focus of parenchymal or meningeal enhancement is seen to suggest residual or recurrent metastatic disease. There is no evidence of acute intracranial hemorrhage or acute infarct. There are minimal scattered foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific, but compatible with age-related white matter changes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening of the left maxillary sinus. There is complete opacification of the right mastoid air cells and partial opacification of the left mastoid air cells. The skull and extracranial soft tissues are unremarkable. There are bilateral lens implants.
1. Prior imaging is not available for comparison. However current study demonstrates no convincing evidence of residual metastatic lesion.2. Opacification of the bilateral mastoid air cells, right greater than left, which is nonspecific.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.