Female, 64 years old, with seizure-like activity. Assess for metastases. History of pancreatic cancer. No evidence of focal parenchymal edema or mass effect is seen. Postcontrast images are somewhat degraded by motion artifact. Within this limitation, no pathologic parenchymal or extra-axial enhancement is observed.Small scattered foci of T2 hyperintensity are seen within the cerebral white matter, the pons and right cerebellum. No restricted diffusion is seen. A small chronic lacunar infarct in the right caudate head is evident.No evidence of acute intracranial hemorrhage is seen. No abnormal extra-axial fluid collections are detected. The ventricular system is normal in size and morphology.Bone marrow signal characteristics are unremarkable. No specific abnormalities of the paranasal sinuses are noted.
1.No evidence of intracranial metastases.2.Scattered small lesions are seen likely representing chronic microvascular ischemic disease.