63-year-old female with lung cancer and metastasis. There is an unchanged heterogeneously enhancing, mildly expansile lesion in the occipital bone. There is an unchanged left parietal skull resection cavity without evidence of abnormal enhancement in this region. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged encephalomalacia in the right orbitofrontal gyri. There is also unchanged mild scattered cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits are unremarkable. There is mild ethmoid sinus mucosal thickening, unchanged.
1.Unchanged encephalomalacia in the right orbitofrontal gyri, with no evidence of intracranial metastases or acute infarction. 2.Unchanged occipital skull metastasis and no evidence of recurrent left parietal skull metastasis. 