62 year old woman with history of metastatic squamous cell cancer. Presents with neutropenic fever and hemoptysis. Also thrombocytopenic. Evaluate for bleed, metastasis. There is no evidence of intracranial hemorrhage, mass or edema. If high suspicion exists for metastasis, contrast enhanced MRI would be more sensitive.The ventricles are unchanged in size from prior studies. The basilar cisterns are preserved.The calvaria and skull base are radiographically normal. Minimal air-fluid levels are present in the maxillary sinuses bilaterally. Mastoid air cells are partially opacified bilaterally.
No CT evidence of hemorrhage or metastasis. 