Clinical question: Lung cancer with history of treated brain metastases. Please reassess disease. Signs and symptoms: Same. Enhanced head CT:No additional contrast is given for this exam. This examination was performed immediately post enhanced CT of chest abdomen and pelvis.There is no evidence of metastatic disease of brain parenchyma, leptomeninges or the calvarium. Aexamination demonstrates a developmental venous anomaly of the left anterior temporal lobe as was noted on prior enhanced brain MRI examination.The cortical sulci, ventricular system and CSF cisterns remain operating normal. Very subtle subcortical and periventricular low attenuation of white matter as was noted on prior brain MRI history to represent small vessel ischemic disease of indeterminate age.
1.No evidence of metastatic disease.2.Minimal small vessel ischemic strokes of indeterminate age.3.Revisualization of the left anterior temporal lobe development of venous anomaly.