70 years, Male, lung adenocarcinoma. Staging. Multiple sequences are motion degraded which may limit detection of small metastatic foci. There is an 8 x 8 mm peripherally enhancing lesion in the left medial temporal lobe with mild surrounding edema suspicious for a small metastasis, axial post gadolinium reformatted image 71, series 1202. No intracranial mass effect or abnormal parenchymal or meningeal enhancement elsewhere to suggest additional metastasis. There is a small focus of susceptibility in the right occipital lobe abutting the right occipital horn compatible with chronic microhemorrhage. No findings to suggest recent infarct. Ventricles are normal in size. Major flow voids are preserved. There is mild mucosal thickening in the right maxillary sinus with a right maxillary sinus mucus retention cyst. Calvarium and extracranial soft tissues are grossly unremarkable.
8 x 8 mm peripherally enhancing lesion in the left medial temporal lobe highly suspicious for metastasis. No additional lesions are appreciated within the limits of a motion degraded study.