Newly diagnosed non-small cell lung cancer. Initial staging. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are multiple punctate defects in the brainstem, cerebellum, and basal ganglia, which likely represent chronic lacunar infarcts and/or prominent perivascular spaces. There is a punctate focus of susceptibility effect in the right thalamus, which likely represents a chronic microhemorrhage. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a cystic lesion in the midline of the nasopharynx that measures up to 12 mm, which may represent a Thornwaldt cyst or retention cyst.
No evidence of intracranial metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.