Malignant melanoma of skin, unspecified [C43.9], Reason for Study: ^Reason: Re-evaluate for new disease due to newly advanced disease and plan for systemic therapy History: Newly advanced stage IV melanoma No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhancement. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Mucosal thickening with retention cysts on bilateral maxillary sinuses.
No evidence of acute ischemic or hemorrhagic lesion. No evidence of abnormal enhancement.