History of breast cancer with liver metastasis. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are numerous scattered foci of T2 hyperintensity in the cerebral white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants. There are partially-imaged findings related to right parotidectomy. There is mild fluid signal in the right mastoid air cells.
1. No evidence of intracranial metastases. 2. Numerous scattered cerebral white matter lesions are nonspecific, but likely represent chronic small vessel ischemic disease.