68-year-old male with metastatic lung cancer to the brain There is a hypodense area in the right occipital lobe extending into the temporal lobe but most likely represents an acute ischemic event. This area is in the region of the hyperdense focus in the right occipital region representing metastatic disease with surrounding vasogenic edema. This can be further evaluated with an MRI. No evidence of midline shift, new hemorrhage, or significant edema.The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
Hypodense area in the right occipital lobe extending into the temporal lobe in the region of the hyperdense metastatic focus. Appearance most likely represents an acute ischemic event and can be further evaluate with an MRI. No evidence for new hemorrhage or mass-effect.