 There is no significant change in size of right peri-Rolandic enhancing lesion with susceptibility, which measures 9x14x15 mm (sagittal series 1201 image 20 and axial series 1301 image 138), previously 10 x 14 x 15 mm. There is surrounding FLAIR hyperintensity may represent edema and/or gliosis and similar to prior. No other enhancing lesions to suggest metastatic disease are definitively appreciated. There are subtle punctate focus of enhancement in the left cerebellar hemisphere, axial image 37 and series 1301 which is favored to be vascular in etiology and can be assessed on follow-up studies.Additional scattered foci of T2/FLAIR hyperintensity in the white matter are similar to prior and compatible with chronic small vessel ischemic disease and/or posttreatment changes. No new mass or mass effect. No hydrocephalus. No extra-axial collections. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
1. No significant change in residual enhancing lesion in the right peri-Rolandic region with surrounding post treatment changes. 2. No new lesions or findings to suggest progression of metastatic disease. 