No evidence of intracranial hemorrhage or mass effect.
Lytic clival process with soft tissue component (24-26 HU) bulging anteriorly into sphenoid sinus and posteriorly into prepontine cistern. Corticated margin around part of the lesion. Unchanged compared to previous CT done exactly 2 years previously.
Small piece of metal shrapnel in superomedial preseptal right orbit abutting the globe and another one in the frontal scalp right of the midline.