Seizure and recent resection of a brain metastasis. There has been recent resection of the right temporal lobe mass with intrinsically T1 hyperintense blood products within the resection cavity, but no residual enhancing tumor. There is persistent extensive surrounding vasogenic edema. There is no significant change in the hemorrhagic heterogeneously enhancing mass in the left parietal lobe that measures up to 32 mm with extensive vasogenic edema. There slight midline shift to the left. The ventricles are unchanged in size and configuration. There are a few scattered punctate nonspecific foci of T2 hyperintensity in the cerebral white matter. There is no evidence of acute infarction. There is trace fluid signal within the mastoid air cells. There are subcentimeter cystic lesions in the skin of the right temporal scalp and bilateral cheeks, which may represent epidermoids.
1. Recent resection of the right temporal lobe mass without evidence of residual enhancing tumor, although there is persistent extensive surrounding vasogenic edema.2. Unchanged hemorrhagic mass in the left parietal lobe with extensive vasogenic edema. 