Name Ayaz Date 17-1-23 CE CT BRAIN AND NECK FINDINGS: - Bilateral intra-axial, ring-enhancing space-occupying lesions are seen involving right parietal region( 2.5x1.9cm), right temporal region (2.2x1.8cm) and left cerebellar hemisphere(1.7x1.6cm). Associated vasogenic edema is noted. Both lateral, 3rd and 4th ventricles are not dilated. Inner and outer CSF spaces are also normal. Soft tissues of scalp and bones of the skull are normal. In-view paranasal sinuses are normal. No mass is noted. Bilateral parapharyngeal spaces, pterygoid plates and region of nasopharynx are normal. Major blood vessels of the neck region are normal. No displacement is seen. Laryngeal cartilages are intact. Both vocal cords are normal. Bilateral enlarged cervical lymph nodes are seen at II, III and V levels, the largest one measures 2.3x1.6xm on left side at level II. In-view bones are normal. No bone erosion or sclerosis is noted. CONCLUSION: Bilateral intra-axial ring enhancing space-occupying brain lesions with associated vasogenic edema as described above likely metastatic deposits Bilateral Cervical lymphadenopathy Dr Mahmood MBBS, FCPS(Diagnostic Radiology)