65-year-old male with history of renal cell cancer and brain metastases. Evaluate for progression. Three enhancing brain metastases are redemonstrated. The bilateral frontal lobe lesions have decreased in size and there is resolution of associated surrounding vasogenic edema. The largest lesion in the right frontal lobe in the superior frontal gyrus measures 8 mm, previously 10 mm. A second lesion in the left middle frontal gyrus measures 4 mm, previously 6 mm. However, there has been slight interval growth of the lesion located in the right occipital lobe, now measuring 7 mm, previously 5 mm, along with increased associated vasogenic edema. No new enhancing lesions are identified. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift. There is no evidence of acute ischemia. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable.
1.Bilateral frontal lobe metastases have decreased in size with resolution of associated edema.2.A right occipital lobe metastasis has increased in size along with the associated vasogenic edema.