Malignant neoplasm of unspecified part of unspecified bronchus or lung [C34.90], Reason for Study: ^Reason: Cancer eval for mets History: Cancer eval for mets Previously seen right precentral gyrus (6mm was 2mm) and at least 3 left cerebellar enhancing lesions are again seen but appear to be more conspicuous and slightly increased in size since prior scan.There is no evidence of new abnormal enhancing lesion on the scan.There is no evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are unremarkable. About 5mm sized downward tonsilar displacement through the foramen magnum are again seen, unchanged.The midline structures are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. More conspicuous and slightly increased in size of right frontal lobe pre central gyrus and left cerebellar hemispheric enhancing nodular lesions since prior scan.2. No new abnormal enhancement is seen.3. No evidence of acute ischemic or hemorrhagic lesion.