46 years Female (DOB:10/3/1969)Reason: cervical SCC to brain s/p whole brain radiation History: assess for EODPROVIDER/ATTENDING NAME: STEVEN J CHMURA STEVEN J CHMURA The patient is status post right-sided craniotomy for removal of a previously noted right middle frontal gyrus lesion known to represent squamous cell carcinoma metastasis. There is redemonstration of adjacent dural thickening and the CSF cavity at the surgical site which remains stable since the prior exam. Adjacent signal change in the white matter appears stable compared to the prior exam. The enhancement pattern of the current exam is similar to the prior exam.No new enhancing lesions are appreciated within the brain parenchyma.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.The patient is status post right-sided craniotomy for a right middle frontal gyrus lesion. The appearance of the surgical site is stable compared to the prior exam. Given the initial appearance of a leptomeningeal and pachymeningeal involvement on the 7/23/2015 exam, the possibility of there is residual tumor cannot be excluded. In general, the lesion is significantly reduced when compared to the July exam.