Secondary malignant neoplasm of brain [C79.31], Reason for Study: ^Reason: Brain metastasis s/p SRS- surveillance exam History: Brain metastasis s/p SRS- surveillance exam 53 years Female (DOB:11/10/1963)Reason: Brain metastasis s/p SRS- surveillance exam History: Brain metastasis s/p SRS- surveillance examPROVIDER/ATTENDING NAME: STEVEN J. CHMURA RIMAS V. LUKAS Right basal ganglia lesion shows interval increase in size (from 17 mm to 31 mm) and surrounding edema also appear to be slightly increased in its extent since prior scan.In addition, the degree of midline shift measured on axial scan at the level of foramen of Monro has been increased from 9 to 13 mm.Right cerebellar hemispheric hemorrhagic lesion is again seen, unchanged since prior scan.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1. Interval increase in size of the right basal ganglia lesion as well as the extent of surrounding edema and the degree of midline shift toward left side.2. Unchanged right cerebellar hemispheric hemorrhagic lesion.