 As suspected on recent prior CT, there are at least 15 parenchymal enhancing lesions ranging from punctate to 10-mm in size seen in both cerebral hemispheres. There is mild edema associate with larger lesions, but no gross mass effect. One or two of the larger lesions are associated with punctate susceptibility artifact, which may be microhemorrhage, but there is no significant intracranial hemorrhage. The ventricles and sulci are normal in size without evidence of hydrocephalus. There is no evidence diffusion-weighted abnormality. There are no extraaxial fluid collections. Flow voids are present within the major vessels indicating patency. The orbits, paranasal sinuses, and mastoid air cells are unremarkable. No osseous lesion is identified.
At least 15 intraparenchymal enhancing lesions compatible with metastases ranging from punctate to 10-mm in size seen in both cerebral hemispheres. 