 The study was performed without contrast and is limited for evaluation of metastatic disease. The hemorrhagic metastatic lesion in the right cerebellum is again visualized and measures approximately 18 x 13 mm, not significantly changed since previous study. The associated vasogenic edema is unchanged with resultant regional mass effect. There is mild decrease in the edema associated with the previously seen hemorrhagic lesion in the right lateral basal ganglia/subinsular white matter. No new focus of edema or mass effect to suggest progression of metastatic disease, within the limitations of noncontrast study. No evidence of infarct or new hemorrhage. No hydrocephalus. No extra-axial collections.There are small bilateral maxillary mucosal retention cysts.
Please note examination is obtained without contrast limiting assessment of metastatic disease. Hemorrhagic metastatic lesion in the right cerebellum with surrounding edema is not significantly changed. There is decrease in edema associated with hemorrhagic right subinsular/lateral basal ganglia lesion. No new focus of edema or new mass effect. 