Lung cancer with metastases. There has been overall slight interval decrease in size and number of the enhancing lesions in the brain. For example a right superior frontal lobe lesion now measures up to 2 mm, previously 5 mm and a right globus pallidus lesion is now inconspicuous. A few lesions demonstrate punctate foci of susceptibility effect, which may represent hemorrhage or calcifications. However, there is is generally negligible or no appreciable associated vasogenic edema. 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 skull and scalp soft tissues are unremarkable. There is mucosal thickening within the bilateral maxillary sinuses.
Overall slight interval decrease in size and number of the intracranial metastases.