69-year-old female with lung mass. No with increasing headaches and slurred speech Area of vasogenic edema within the right cerebellum with mass effect and deviation of the fourth ventricle is noted. This is believed to represent edema from a metastatic lesion and should be further evaluated with a dedicated MRI of brain. Within the area of edema a suspect neck right tumor is noted. No evidence of hemorrhage is present.Images through supratentorial brain parenchyma also demonstrates small area of low attenuation in the subcortical white matter of right posterior frontal which also is suspected for edema surrounding a small metastatic lesion.No evidence of hemorrhage or midline shift is detected.Calvarium remains within normal limits. Minimal findings of chronic otitis are noted evident by opacification of few of the mastoid air cells.
1.Highly suspected necrotic tumor within the posterior fossa on the right with surrounding edema and smaller supratentorial area of vasogenic edema. Both of these regions need to be further evaluated with a dedicated post diffuse MRI of brain.