Resection of brain lesion, hemangioblastomas. There are postoperative findings related to suboccipital craniotomy. There are multiple unchanged enhancing nodules in the cerebellum and right posterior cingulate gyrus, some of which have associated cystic components and surrounding vasogenic edema. The largest lesion measures up to 12 mm in the cerebellar vermis. There is also an unchanged punctate enhancing left medial globe lesion. There is an unchanged gliotic tract from prior right transfrontal ventricular shunting. The ventricles are unchanged in size. There is no evidence of acute infarct. There is no midline shift or herniation. The major cerebral flow voids are intact. There is scattered ethmoid sinus mucosal thickening.
1. No significant interval change in the multiple posterior fossa and right posterior cingular gyrus hemangioblastomas.2. Unchanged punctate enhancing left medial globe lesion, which may represent a retinal capillary hemangioma related to von Hippel Lindau disease.