Metastatic lung cancer to bone: some visual changes on right field, some headaches. There appears to be a punctate enhancing focus in the left cerebellar hemisphere. There is no evidence of intracranial hemorrhage or acute infarct. There is a small left parietal lobe developmental venous anomaly. There is a nonspecific punctate focus of high T2 signal in the right frontal lobe deep white matter without associated 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.
An apparent punctate enhancing focus in the left cerebellar hemisphere may represent a metastasis.