Clinical question: Newly diagnosed small cell cancer. Signs and symptoms: SOB. Discussion Pre and post enhanced brain MRI:Unremarkable diffusion weighted series.Examination demonstrates normal anatomical development, morphology and with normal signal intensity of brain parenchymal on all MRI sequences.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and brain myelination for age.There is no detectable abnormal parenchymal or leptomeningeal enhancement.Normal signal intensity of the calvarium and soft tissues of the scalp without abnormal enhancement. Next line unremarkable images through the orbits and including axial fat sat post enhanced series.All visualized paranasal sinuses and bilateral mastoid air cells and middle ear cavities demonstrate normal pneumatization signal patterns.
Unremarkable pre and post enhanced brain MRI.