Stage IVb lung adenocarcinoma with progressive headache and anxiety-related memory deficits surveillance for brain metastases. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal nonspecific cerebral white matter T2 hyperintense foci. There are subcentimeter right choroid fissure cysts. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
Incidental right subcentimeter right choroid fissure cysts. Otherwise, no evidence of intracranial metastases.