Female, 87 years old, with brain metastases from breast cancer, evaluate for SRS planning. A 9 mm cortically based enhancing mass is evident within the left precentral gyrus inducing moderate adjacent edema. A 7 mm cortically-based enhancing mass is also seen in the right postcentral gyrus with minimal associated edema. A 3-mm enhancing focus is evident within the right caudate nucleus. No other enhancing lesions are seen. No significant generalized mass effect is detected. The ventricles remain stable and normal in size.
Three enhancing parenchymal lesions are identified as above which most likely represent metastases.