49 year old female with metastatic small cell lung cancer with brain/pancreatic METs and with altered mental status. Rule out bleed. Images through posterior fossa are unremarkable.Multiple small patchy areas of decreased attenuation are noted. One of these lesions in the right frontal lobe demonstrates internal area of high density which corresponds with previously noted hemorrhagic metastases on MRI from 3 -- 6 -- 09. The other subcortical and periventricular low attenuations may represent small vessel disease. No evidence of hemorrhage, mass effect, midline shift or hydrocephalus.111
No evidence of acute findings. Small vessel disease and right frontal lobe metastases as detailed