Malignant neoplasm of unspecified site of unspecified female breast [C50.919] / Secondary malignant neoplasm of unspecified lung [C78.00], Reason for Study: ^Reason: r/o leptomeningeal disease History: unable to walk - hx of metastatic breast cancer There are multifocal various sized gadolinium enhancing intraparenchymal lesions with the surrounding edema at both supra and infratentorially.Several of enhancing lesions show susceptibility artifacts indicate intralesional hemorrhages.Although leptomeningeal enhancement is not prominent on the scan, there is about 16.6 mm x 16.1 mm sized enhancing lesion on the area of left side foramen of Monro which could represent ependymal and/or choroid plexus metastatic lesion .Multifocal enhancing lesions on skull and visualized cervical vertebral bodies may indicate metastatic lesions. The ventricular system size appears to be unremarkable. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Multifocal various sized supra and infratentorial metastatic lesions with some intra lesional hemorrhages as described above.2. Intraventricular enhancing lesion on the right foramen of Monroe area which may indicate ependymal and/or choroidal plexus metastasis. 3. There is no evidence of abnormal leptomeningeal enhancement. 