62 years Male (DOB:1/2/1954)Reason: s/p SRS please compare HPROVIDER/ATTENDING NAME: STEVEN J. CHMURA STEVEN J. CHMURA The patient is status post left parietal lobe surgery and left-sided craniotomy for a mass previously present left precuneus. There is now some susceptibility effect along the left precuneus associated with some volume loss. There is no evidence for new enhancing lesion.The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.On susceptibility weighted imaging there is a focus of susceptibility effect present in the left putamen of the basal ganglia which has been previously present. A punctate focus of susceptibility effect is present in the left dentate nucleus of the cerebellum. These foci of susceptibility have not changed since the prior exam.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 demonstrate mucosal thickening in the ethmoid air cells and right sphenoid sinus and to a lesser degree left maxillary sinus.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Status post left parietal lobe surgery without evidence for local recurrence.2.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.3.A couple microhemorrhages are present left basal ganglia and left cerebellar hemisphere which are too few to establish a pattern.