History of metastatic renal cell carcinoma with dizziness. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Unchanged punctate defects in the left inferior cerebellar hemisphere may represent chronic infarcts and mild nonspecific periventricular white matter T2 hyperintensity. The brain parenchyma and pituitary gland otherwise appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift. There cerebellar tonsils extend up to 4 mm inferior to the foramen magnum, but otherwise display rounded morphologies. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
No evidence of intracranial metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.