Clinical question: Grade 2 oligodendroglioma, status post RT and L4 cycles of PCV. Signs and symptoms: As above. Pre and post enhanced brain MRI:Examination demonstrate stable post treatment changes of the left frontal lobe since prior exam and without abnormal enhancement.Changes in the left frontal lobe includes a large focus of cystic encephalomalacia and gliosis containing a hemosiderin laden surgical cavity similar to prior exam under a left frontal craniotomy.Bony thickening and enhancement consistent with fibrous dysplasia along the roof of the right orbit also remains stable since prior exam.Stable ventricles and with maintain midline similar to prior.
1.No acute of new intracranial finding since prior exam.2.Stable post treatment/surgical changes of left frontal lobe tumor without abnormal enhancement.3.Stable small fibrous dysplasia along the right orbital roof. 