62-year-old female with a history of metastatic lung adenocarcinoma status post chemoradiation (8/11/2016- completed whole brain radiation, 8/25/2016- started on Erlotinib 100 mg). There is a rim-enhancing mass in the anterior right superior frontal gyrus with surrounding vasogenic edema. The lesion measures up to 17 mm. There are additional subcentimeter enhancing lesions in the left cerebellar hemisphere. There is no evidence of intracranial hemorrhage or acute infarct. There is mild scattered cerebral white matter and brain stem T2 hyperintensity. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening in the paranasal sinuses. The major cerebral flow voids are intact. The orbits, skull, and scalp soft tissues are grossly unremarkable.
1. Enhancing intracranial metastases in the anterior right superior frontal gyrus and left cerebellar hemisphere. 2. Mild scattered cerebral white matter and brainstem T2 hyperintensity is nonspecific, but may represent chronic small vessel ischemia.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.