66 years Female (DOB:3/21/1950)Reason: Newly dx lung adeno with right frontal brain met 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. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.There is redemonstration of a 7 mm ring-enhancing lesion located in the right frontal lobe. There is an associated vasogenic pattern of edema.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. The left eye lens is thin.
1.There is a right frontal lobe ring-enhancing lesion present. Given the patient's clinical history of primary lung cancer, this most likely represents metastatic disease.2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.Exam was performed for the purpose of stereotactic guidance during surgery