History of lung cancer, staging examination to evaluate for metastatic disease. There are no residual enhancing intracranial lesions. There is no mass-effect or significant midline shift. There is no evidence of intracranial hemorrhage or acute infarct. There is diffuse cerebral volume loss. There are nonspecific scattered punctate foci and confluent areas of abnormal T2 hyperintensity within the periventricular and subcortical white matter, which are not significantly changed. There is also a chronic lacunar infarct in the left caudate. There are punctate foci of susceptibility in supra- and infratentorial locations at sites of prior metastases, likely representing chronic blood products or mineralization. The skull and extracranial soft tissues are unremarkable. However, there appears to be a lesion in the right C1 vertebra, which is incompletely characterized.
1. No evidence of enhancing intracranial metastases.2. A partially characterized lesion in the right C1 vertebra may represent a metastasis. A dedicated cervical spine MRI may be useful for further evaluation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.