51 years Female (DOB:1/28/1965)Reason: concern for brain metastases History: lung cancer, concern for brain metsPROVIDER/ATTENDING NAME: EVERETT E. VOKES EVERETT E. VOKES The CSF spaces are appropriate for the patient's stated age with no midline shift. Much of the imaging is degraded due to patient motion which may obscure more subtle abnormalities.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.There is diffuse marrow replacement present.
1.The extent of visualization there is no brain metastasis appreciated. Some of the imaging is degraded due to patient motion which may obscure more subtle abnormalities.2.There is diffuse marrow replacement present. This is a nonspecific finding. This could be seen with anemia, lymphoproliferative disorder, myeloproliferative disorder, chronic disease. It is nonspecific