Brain mets status post multiple courses of SRS. There are multiple unchanged punctate enhancing lesions in the bilateral cerebellar hemispheres and a punctate lesion in the posterior right pons. There also appear to be unchanged punctate foci of enhancement in the right occipital and inferior parietal lobes. There is no discernible left parietal lobe lesion. There is no evidence of intracranial hemorrhage or acute infarct. 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.
Multiple unchanged punctate enhancing metastases in the bilateral cerebellar hemispheres and a punctate lesion in the posterior right pons. Unchanged possible punctate foci of enhancement in the right occipital and inferior parietal lobes. No discernible left parietal lobe metastasis.