Ovarian cancer with brain metastases treated with SRS. There are postoperative findings related to right frontal craniotomy for resection of a right frontal lobe metastases. There is persistent confluent T2 hyperintensity surrounding the resection cavity, but no evidence of enhancing tumor in this region. There is no significant interval change in size of the enhancing lesion in the right peritrigonal white matter that measures up to 6 mm in width, with associated vasogenic edema. The punctate left periventricular frontal lobe white matter and left inferior temporal gyrus punctate lesions are now more apparent. There is no discernible lesion in the cerebellum. There is unchanged scattered non-enhancing mild cerebral white matter T2 hyperintensity, which is nonspecific. There is no evidence of acute intracranial hemorrhage or infarction. There is no midline shift. The major cerebral flow voids are intact. The orbits are unremarkable.
1. Post-treatment findings in the right frontal lobe without evidence of recurrent tumor in this region.2. No significant interval change in size of the subcentimeter right peritrigonal metastasis.3. The punctate left periventricular frontal lobe white matter and left inferior temporal gyrus punctate metastases are now more apparent.