 There has been interval decrease in size and number of enhancing metastatic lesions throughout the brain. For example, a right cingulate gyrus lesion measures 7 mm in diameter, previously 14 mm, and an inferior vermis lesions measures up to 6 mm, previously 12 mm. The degree of associated vasogenic edema has also diminished. Otherwise, a small left parafalcine dural based extra-axial calcified lesion is unchanged. The ventricles and sulci are within normal limits. There is no midline shift. There is no evidence of acute infarction or hemorrhage. There is nonspecific fluid signal in the left mastoid air cells. There is also mild scattered paranasal sinus mucosal thickening. The orbits are unremarkable.
1. Interval decrease in size and number of the numerous intracranial metastases.2. An unchanged small left parafalcine mass may represent a meningioma.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.