Female, 55 years old, history of breast cancer with left hand tremors and prior brain metastases. Assess metastases. Several small metastatic lesions are redemonstrated as follows:1. A lesion along the hand motor area of the left precentral gyrus is smaller and less conspicuous measuring no more than 6 x 4 mm, previously 8 x 5 mm.2. Two very small lesions in the right inferior parietal lobule are stable to perhaps 1 mm smaller each.3. A 3-mm left temporal lobe lesion is not changed4. A right cerebellar lesion no longer demonstrates enhancement on the present study, but shows relatively stable mild FLAIR hyperintensity.No new lesions are detected. Scattered small foci of T2 hyperintensity are demonstrated in the cerebral hemispheres. These are stable and not necessarily related to metastatic disease. No evidence of restricted diffusion is seen. No parenchymal edema or mass effect is detected. There is no evidence of significant intracranial hemorrhage. Ventricles are stable and normal in size.
1.Several small metastatic lesions in the brain are demonstrated, some of which are smaller and some unchanged.2.No new intracranial lesions are detected.