63 years, Female, metastatic ovarian cancer status post resection and radiation therapy. Compared to 6/24/2015, there is evidence of treatment response with decrease in size of multiple enhancing lesions. For example left frontal lesion previously 10 x 10 mm now measures 6 x 6 mm. Right parietal 11 x 7 mm lesion measures 7 x 5 mm. 4 mm right cerebellar lesion now measures less than 2 mm. There is interval decrease in FLAIR hyperintensity associated with the left frontal and right parietal lesions. Additional areas of FLAIR hyperintensity in the periventricular and subcortical white matter are not significantly changed. Unchanged appearance of the right frontal resection cavity with surrounding FLAIR hyperintensity which may represent gliosis. Unchanged restricted diffusion involving the posterior aspect of the right frontal resection cavity likely related to chronic blood products. No new enhancing lesion or new mass effect is appreciated. Unchanged ventricular size and periventricular FLAIR abnormality. No midline shift or herniation. Major flow-voids are preserved. Paranasal sinuses and mastoid air cells are clear. No suspicious osseous lesions.
Compared to 6/24/2015 there is evidence of treatment response with decrease in size of multiple previously seen enhancing lesions. No new lesions.