History of breast cancer now with headacheIMAGE ACQUISITIONS: Brain CT without and with contrast. 100 cc nonionic Omnipaque 350. There is questionable punctate foci of enhancement which likely represent volume averaging from the vessels in the deep sulci. However, small metastases cannot be excluded. We recommend a brain MRI without and with contrast to further evaluate.Remainder of the cerebrum, cerebellum, and brainstem show normal morphology and attenuation. There are no other areas of abnormal enhancement. No intracranial hemorrhages or abnormal extra-axial fluid collections. Visualized paranasal sinuses and mastoid air cells are pneumatized normally.
Questionable foci of abnormal enhancement. Although these are likely artifactual, we recommend brain MRI without and with contrast given patient's history of breast cancer.