Secondary malignant neoplasm of brain [C79.31] / Secondary malignant neoplasm of other parts of nervous system [C79.49], Reason for Study: ^Reason: S/p SRS for brain metastasis. Surveillance exam. History: S/p SRS for brain metastasis. Surveillance exam. 58 years Female (DOB:10/11/1958)Reason: S/p SRS for brain metastasis. Surveillance exam. History: S/p SRS for brain metastasis. Surveillance exam.PROVIDER/ATTENDING NAME: STEVEN J. CHMURA SERVICES ANCILLARY Interval decrease of the size of resection cavity on the right middle temporal gyrus reaching to the periventricular white matter of right lateral ventricle occipital horn. In addition, enhancing portion of the lesion is also decreased since prior scan.There is no other abnormal enhancement is seen.No evidence of acute ischemic or hemorrhagic lesion. Right temporoparietal craniotomy is seen, unchanged since prior scan.No intracranial hemorrhage is identified. Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The right mastoid air cells opacified, unchanged since prior scan. The visualized portions of the orbits are intact.
1. Interval decreased size of the resection cavity as well as decreased extent of enhancing portion of the right middle temporal gyrus lesion extended toward the right lateral ventricle periventricular white matter.2. No evidence of new abnormal enhancing lesion.3. No evidence of acute ischemic or hemorrhagic lesion.