Stage IV melanoma: restaging. There is a subcentimeter focus focus high T2 signal in the left corona radiata. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
A subcentimeter focus of high T2 signal in the left corona radiata may represent a chronic lacunar infarct. Otherwise, no evidence of intracranial metastases.