Lung cancer with brain metastases, status post whole brain RT and SRS: restaging, poor memory. There is a minimal residual enhancing lesion in the right cuneus. Other previously demonstrated lesions are not conspicuous. There is diffuse patchy nonspecific cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are unchanged. There is mild scattered paranasal sinus mucosal thickening.
Minimal residual treated enhancing lesion in the right cuneus. Other previously demonstrated and treated lesions are not conspicuous. The skull appears unchanged.