43 years Male (DOB:11/12/1972)Reason: history of brain mets s/p SRS please History: nonePROVIDER/ATTENDING NAME: STEVEN J. CHMURA STEVEN J. CHMURA The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post left occipital craniotomy.There is redemonstration of T2 and FLAIR hyperintense lesions in the left precuneus which are stable compared to the prior exam. There are additional foci of susceptibility present in this location as well. There is no contrast enhancing lesion identified in the surgical bed.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.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 demonstrate mucosal thickening. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is redemonstration of postoperative changes in the left precuneus which are stable. Most likely this represents posttreatment change