Metastatic breast cancer. There is interval decrease in size of the right perirolandic enhancing lesion with susceptibility effect, which now measures 17 x 11 mm, previously 25 x 14 mm. In addition, the surrounding vasogenic edema has diminished. The left occipital lobe lesion has also decreased in size and is nearly resolved. There is a small developmental venous anomaly in the right paracentral lobule. There is unchanged scattered nonspecific cerebral white matter T2 hyperintensity. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Interval decrease in size of the intracranial metastases.