24 years Female (DOB:6/20/1991)Reason: Re-evaluate for disease recurrence; known history of brain metastases History: Stage IV melanomaPROVIDER/ATTENDING NAME: JASON JOHN LUKE JASON JOHN LUKE The patient is status post left-sided craniotomy. A lesion located in the left middle frontal gyrus associated with susceptibility effect is stable.There is a 4 mm lesion present along the right cerebellar hemisphere along its more lateral aspect is stable compared to 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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Since the prior exam a left middle frontal gyrus hemorrhagic lesion has remained stable.2.A small right cerebellar lesion suspicious for metastatic disease also remains stable.3.Status post left-sided frontal craniotomy.