History of ependymoma, status post resection and radiation therapy. Off therapy for about 31 months.. The findings related to left frontal craniotomy with a resection cavity in the posterior aspect of the left inferior frontal gyrus is unchanged. The associated, surrounding T2 FLAIR hyperintensities unchanged. There is no suspicious contrast enhancement at the resection bed. Susceptibility artifact within the surgical cavity is still present.There is no intracranial hemorrhage, new mass, or acute infarct. There is no abnormal brain parenchymal or leptomeningeal contrast enhancement. The ventricles 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.
There has not been significant change in the treatment bed in the posterior inferior left frontal lobe since the previous examination of May 2015, as well as multiple priors. There is no sign of tumor recurrence.