Metastatic esophageal adenocarcinoma. Assess for brain metastasis. There is no evidence of intracranial hemorrhage, mass, or acute infarct. A few punctate T2 hyperintense foci in the frontoparietal white-matter are nonspecific. There is a small left superior frontal gyrus developmental venous anomaly. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is trace mucosal thickening in the paranasal sinuses.
No evidence of intracranial metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.