Metastatic melanoma status post 4 cycles of chemotherapy please assess response to therapy and compare to previous imaging. There are postoperative findings in the left temporal lobe with persistent confluent T2 hyperintensity diffusely along the margins of the resection cavity patchy enhancement along the medial aspect of the resection cavity. There is no evidence of acute intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp soft tissues appear unchanged.
Postoperative findings in the left temporal lobe with persistent patchy enhancement along the medial aspect of the resection cavity, which is nonspecific. Otherwise, no new intracranial metastases are identified.