49 years Female (DOB:3/18/1967)Reason: evaluate and stage brain mets History: brain mets seen on CT-HeadPROVIDER/ATTENDING NAME: RITA NANDA RITA NANDA There are multiple ring-enhancing lesions scattered throughout the brain parenchyma which have associated susceptibility effect and a vasogenic pattern of edema.. One in the left precentral gyrus is hyperdense and measures 14 x 11 mm axial dimensions. Another one is present in the right precentral gyrus and measures 13 x 13 mm. Another in the right postcentral gyrus measures 6 x 6 mm axial dimensions. Another ringlike enhancing lesion associated with fluid fluid level is present in the right frontal lobe measuring 16 x 15 mm axial dimensions involves the anterior aspect of the right middle frontal gyrus and is also associated with subcortical white matter hypodensity. Another couple are present in the left cuneus one measuring 8 mm in adjacent 1 measuring 5 mm. Couple punctate 1's are present in the left occipital lobe.There is associated sulcal effacement with the above described lesions.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There are multiple hemorrhagic lesions associated with the vasogenic edema scattered throughout the brain. These are suspicious for hemorrhagic metastases.