T4 breast cancer with lethargy and wight loss. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered nonspecific cerebral white matter T2 hyperintense foci. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is a 15 mm long T1 hyperintense lesion that losses signal with fat suppression in the occipital bone, which likely represents a hemangioma. The orbits, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of intracranial metastases. 