32 year old female with gliosarcoma. Recently on chemo/RT. Now with acute 10/10 headaches. Nausea, vomiting. Evaluate for edema or bleed. Large area of vasogenic edema /encephalomalacia in the right posterior frontal, parietal extending inferiorly into the occipital lobe, basal ganglia/thalami and frontal lobe is noted. In comparison to prior MRI there is evidence of increase in the degree of edema since prior exam. There is evidence of midline shift of approximately 6 mm which has increased since prior examination. The no evidence of hemorrhage is identified. Also new since prior examination is further interval dietitian of the right temporal horn this is believed to be secondary to entrapment of right temporal horn secondary to the mass. No evidence of hemorrhage is detected.
1.Increase in the amount of vasogenic edema in the right cerebral hemisphere surrounding the patient's known tumor.2.Enlarged right temporal horn due to entrapment.3.No evidence of hemorrhage.