History of lung and breast cancer with treatment for uveitis and iriditis recently to have afferent pupil response and complaint of dizziness and headaches. Evaluate for metastases. The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal enhancement. There are minimal scattered punctate foci of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, which are nonspecific, but most consistent with minimal chronic small vessel ischemic changes. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are bilateral lens implants. The skull and extracranial soft tissues are unremarkable.
1. No evidence of intracranial mass or abnormal enhancement.2. Nonspecific minimal scattered punctate foci of abnormal T2 signal in the white matter are most likely vascular related at this age.