60-year-old female with left breast carcinoma with brain metastases. There has been no significant interval change in size of an enhancing lesion in the left superior parietal lobe, which again measures up to 2 mm. There are additional scattered subcentimeter lesions with associated susceptibility in the superior portion of the right precentral gyrus and left inferior parietal lobule. There is no evidence of acute infarct. The ventricles and basal cisterns are 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.
No significant interval change in size in size of a metastatic lesion in the left superior parietal lobe and other subcentimeter metastatic lesions with susceptibility in the superior portion of the right precentral gyrus and left inferior parietal lobule. No new pathological enhancement.