Clinical question: Hemorrhage. Signs and symptoms: Seizure this a.m. Old left cerebellar stroke is again identified and no change. No new findings within the posterior fossa.Images through the supratentorial space are again demonstrates large area of vasogenic edema in the left frontal -- parietal region with a high density mass. Review of prior examination (MRI of brain from 7 -- 16 -- 2009) reveal presence of a metastatic tumor in the left occipital posterior parietal region. Direct comparison for size is not possible since no post infusion images were obtained. There is no evidence of hemorrhage with this mass. Extensive vasogenic pattern of low density in the right hemisphere is also noted which may represent postradiation edema. The ventricular system and supratentorial space are slightly prominent and may represent underlying parenchymal volume loss. This finding however remains relatively stable since prior study. Postoperative changes of left frontal -- parietal craniotomy. Further evaluation with a post infusion study is recommended. In comparison with prior non-infused CT examination from 6 -- 17 -- 2009 the mass appears to slightly larger.
1.Left parietal mass which appears a slightly larger on this non-infused study since the prior examination from 6 -- 17 Ash 2009.2.No evidence of hemorrhage.3.Extensive vasogenic edema left hemisphere. No hydrocephalus or midline shift.