Brain tumor and seizures and history of clear cell renal carcinoma, status post whole brain radiation therapy. There is a heterogeneous mass in the periventricular region of the right frontal lobe, which measures up to approximately 25 mm. There is a lesion in the left occipital lobe that measures up to 3 mm. There is also a lesion in the dorsal pons that measures up to 9 mm. In addition, there is a 2 mm wide lesion in the superior left cerebellar hemisphere. The ventricles and sulci are mildly prominent diffusely. There is also diffuse confluent bilateral cerebral hemisphere white matter T2 hyperintensity, which may be related to radiation therapy. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Pre-treatment planning MRI for supratentorial and infratentorial metastatic lesions.