72 years, Female, metastatic lung adenocarcinoma, baseline evaluation for staging. Motion degradation on the postcontrast sequences slightly limits evaluation for small lesions. There is however no evidence of abnormal parenchymal or meningeal enhancement or intracranial mass or mass effect to suggest metastatic disease. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild chronic small vessel ischemic changes. There is global parenchymal volume loss commensurate with patient's age. Brain parenchyma is otherwise unremarkable for age. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. The ventricles are within normal limits in size and configuration. Major flow-voids are preserved. Bone marrow signal and extracranial soft tissues are within normal limits.
No evidence of intracranial metastatic disease.