Female, 36 years old, history of GBM. Findings are redemonstrated related to left parietal craniotomy for tumor resection. A small epidural collection subjacent to the craniotomy is not significantly changed in thickness. A small surgical cavity within the posterior lateral left temporal lobe is stable in size and morphology. T2 hyperintensity surrounding this cavity, and extending superiorly into the parietal lobe, is also unchanged.On postcontrast images, irregular enhancement along the periphery of the resection cavity is unchanged. Two or three nodules of enhancement anterior to the resection cavity are also stable in size and morphology. More superiorly, a thick band of enhancement within the left parietal lobe is also stable. This tissue, and some areas surrounding the resection cavity, demonstrate elevated rCBV, while the discontiguous nodular foci anterior to the resection cavity are not well assessed due to proximity to bone.A nonenhancing round focus of T2 hyperintensity within the right thalamus is stable. Also stable is mild asymmetric T2 hyperintensity within the left posterior thalamus and the left insula.No new pathologic intracranial enhancement is seen. No new fluid collections are detected. The ventricular system is stable and normal in size.
Stable examination with no convincing evidence of progressive tumor.