 No intracranial mass or abnormal parenchymal or meningeal enhancement in the brain is appreciated to suggest metastatic disease. There is a subcentimeter focus of enhancement with susceptibility effect in the anterior aspect of the pons which likely represents a capillary telangiectasia. Remainder of the brain parenchyma appears unremarkable. No evidence of acute ischemia or hemorrhage. No hydrocephalus. No extra-axial collections. Bone marrow signal is within normal limits.There is an approximately 4 mm focus of abnormal enhancement and nodularity involving the right posterior aspect of the globe compatible with reported metastasis. There is minimal enhancement involving the adjacent retrobulbar fat which may be reactive. Bilateral orbits appear otherwise unremarkable including the extraocular muscles and bony orbital walls. No abnormal signal involving the optic nerves or chiasm.
1. Small focus of nodular enhancement involving the right posterior aspect of the globe is compatible with a choroidal metastasis.2. No evidence of intracranial metastatic disease. Subcentimeter focus of enhancement with susceptibility effect involving the anterior pons most likely represents capillary telangiectasia.