69 years, Male, metastatic lung cancer. No abnormal parenchymal or meningeal enhancement to suggest metastatic disease. No intracranial mass or mass-effect. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with mild to moderate chronic small vessel ischemic changes. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. There is mild degree of global parenchymal parenchymal volume loss which is slightly prominent for age. No hydrocephalus. No extra-axial collections.Sella and orbits are grossly within normal limits. Minimal paranasal sinus mucosal thickening is seen in the involving the anterior ethmoid air cells and sphenoid sinus. Calvarium and extracranial soft tissues are grossly unremarkable.
1. No evidence of intracranial metastatic disease.2. Mild to moderate chronic small vessel ischemic disease.