 There has been essentially near complete resolution of the previously identified enhancing supratentorial and infratentorial lesions. No new lesions are identified. There are unchanged nonspecific confluent and patchy foci of T2 hypertensity throughout supratentorial white matter. A few punctate foci of susceptibility effect located within areas of previous enhancement are unchanged and are compatible with chronic microhemorrhages. There is no evidence of acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are unremarkable. There is minimal paranasal sinus mucosal thickening.
Near complete resolution of enhancement within the treated metastases. There is no new lesion.