 Brain:Outside interpretation: Preop: 3.4 x 2.6 x 2.3 cm parietal mass with small foci of microhemorrhage; mild local mass effect, no midline shift or herniation. Postop: Discussed in UCM Epic note, however not submitted for review.3.4 x 2.6 x 2.3 cm parietal mass with small foci of microhemorrhage; mild local mass effect, no midline shift or herniation. Additionally, there is a small 6 mm extra-axial enhancing lesion overlying the posteromedial right parietal lobe along the right lateral aspect the superior sagittal sinus. Given its dural based location, this may represent an incidental small meningioma. However, given the known presence of lymphoma within the left hemisphere, this may represent a dural lymphomatous deposit.Spine:Outside interpretation: Diffuse enhancement of meninges and nerve roots within neural foramina at all levels of cervical spine, leptomeningeal spread of malignancy cannot be excluded. Severe DDD of thoracic spine. No abnormal enhancement in thoracic spinal cord, no metastatic disease identified. Enhancement of meninges in central spinal canal of lumbar spine, cannot exclude meningeal metastases. Cervical spine: The study is significantly limited by patient motion. Specifically, the contrast-enhanced images are nearly nondiagnostic. There is no cord enhancement. There may be some dural enhancement along the left thecal sac from C5 through C6. There are mild degenerative changes.Thoracic spine: Degenerative disease of the thoracic spine is mild without significant stenosis. There is no abnormal enhancement of the thoracic cord with no MRI evidence of metastatic disease.Lumbar spine: There is no abnormal enhancement of the conus or cauda equina with no MRI evidence of metastatic disease. Previously identified meningeal enhancement is felt to represent basivertebral plexus. There are advanced degenerative changes of the lumbar spine from L2 through S1 with multilevel foraminal stenosis.
1.3.4 x 2.6 x 2.3 cm parietal mass with small foci of microhemorrhage; mild local mass effect, no midline shift or herniation. Additionally, there is a small 6 mm extra-axial enhancing lesion overlying the posteromedial right parietal lobe along the right lateral aspect the superior sagittal sinus. Given its dural based location, this may represent an incidental small meningioma. However, given the known presence of lymphoma within the left hemisphere, this may represent a dural lymphomatous deposit.2.Cervical spine: The study is significantly limited by patient motion. Specifically, the contrast-enhanced images are nearly nondiagnostic. There is no cord enhancement. There may be some dural enhancement along the left thecal sac from C5 through C6. Confirmation of enhancement would require repeat imaging.3.Thoracic spine: There is no abnormal enhancement of the thoracic cord with no MRI evidence of metastatic disease.4.Lumbar spine: There is no abnormal enhancement of the conus or cauda equina with no MRI evidence of metastatic disease. Previously identified meningeal enhancement is felt to represent basivertebral plexus.