64 years Female (DOB:8/25/1952)Reason: Hx brain met s/p surg+RT surveillance exam History: Hx brain met s/p surgery surveillance examPROVIDER/ATTENDING NAME: STEVEN J. CHMURA SUSAN HONG The patient status post left frontal craniotomy. The cystic cavity at the left middle frontal gyrus currently measures 29 x 13 mm and previously measured 31 x 16 mm. There is surrounding T2 and FLAIR signal hyperintensity present there is associated susceptibility effect. On postcontrast imaging there is no significant contrast enhancement associated with this.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.Incidental note is made of a developmental venous anomaly in the left parietal lobe.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. The AP dimension of the eyes is increased bilaterally on the left-sided AP dimension the left eye is 31 mm on the right-sided is 34 mm. This appears to be associated with some scleral banding just these represent staphylomas.
1.Status post left frontal lobe surgery for removal of a metastatic lesion. There is no evidence for local recurrence.2.No new brain metastases are identified on the current exam.3.The patient had a contrast reaction following gadolinium administration. Please see above notes in the technique section of this report.