Male, 72 years old, with lung cancer. A new 5 mm enhancing nodule is evident within the superior right cerebellum producing minimal if any edema in the surrounding tissues. No other definite enhancing lesions are seen. No evidence of significant generalized mass effect effect is observed. Numerous scattered foci of white matter T2 hyperintensity are redemonstrated without significant interval change. No evidence of intracranial hemorrhage or any abnormal extra axial fluid collection is seen. Ventricular size and morphology are within normal limits.
1.A 5 mm enhancing lesion is seen within the superior right cerebellum concerning for metastasis.2.No additional enhancing lesions are detected.3.Findings are seen compatible with moderately advanced chronic microvascular ischemia.