Visual changes and metastatic melanoma on immunotherapy - numbness/tingling in left hand ring and middle finger. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered foci of non-enhancing T2 hyperintensity in the cerebral white matter, which are nonspecific. The pituitary gland appears unremarkable. There is no abnormal intracranial enhancement. There is mild diffuse cerebral volume loss. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, orbit, and scalp soft tissues are unremarkable. There is mild scattered paranasal sinus mucosal thickening.
No evidence of intracranial metastases of acute infarction.