63 year-old male with left-sided weakness. No evidence of acute intracranial hemorrhage or midline shift. Again seen is extensive bilateral vasogenic edema due to patient's known metastatic disease. Metastatic foci in the right frontal and left frontal lobes have increased attenuation compared to prior CT, likely corresponding to hemorrhage; however, this is likely unchanged from more recent MRI (series 4, image 23 and image 21).The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1.No evidence of acute intracranial abnormality.2.Metastatic foci bilaterally have increased attenuation, most consistent with hemorrhage; although this appears increased since CT done 1/1/2012, this is likely unchanged from more recent MR done 1/25/2012. Extensive bilateral vasogenic edema associated with metastases not significantly changed. 