Left eye ptosis with recurrent metastatic breast cancer. Rule out intracranial metastases. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with chronic small vessel ischemic changes. Brain parenchyma is otherwise unremarkable for age. No abnormal parenchymal or meningeal enhancement. Major flow-voids are preserved.Partially empty sella incidentally noted. Orbits are grossly within normal limits. Paranasal sinuses and mastoid cells are clear. Bone marrow signal is heterogeneous which is nonspecific; no focal destructive osseous lesions.
No evidence of intracranial metastatic disease