52 years, Female, history of renal cell cancer and pancreatic cancer. Rule out metastasis. Lack of contrast limits evaluation for small metastatic lesions. Within this limitation however there is no intracranial mass, parenchymal edema, or mass effect to suggest metastatic disease. There are scattered foci of T2/FLAIR hyperintensity in the bilateral periventricular and subcortical white matter which are nonspecific but compatible with mild chronic small vessel ischemic disease. No evidence of infarct or hemorrhage. Ventricles and sulci are within normal limits for age. No extra-axial collections.Sella and orbits are grossly within normal limits. Calvarium and extracranial soft tissues are grossly unremarkable.
No evidence of intracranial metastatic disease within the limits of noncontrast MRI.