Diagnosis: Secondary malignant neoplasm of brainClinical question: brain mets, please evaluate for progressionSigns and Symptoms: brain mets The CSF spaces are appropriate for the patient's stated age with no midline shift. There is an irregularly-shaped enhancing focus present in the left cerebellar hemisphere lung the inferior semilunar lobule which measures 23 x 27 mm axial dimensions and measured the same on the September 1 exam. There is associated susceptibility effect. The patient is status post left posterior fossa surgery.There is redemonstration of a right temporal lobe mass which measures 20 x 17 mm axial dimensions and on the September 1 exam measured 15 x 15 mm axial dimensions.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.A right temporal lobe mass has increased in size when compared to the previous exam. This compatible with metastatic disease2.A left cerebellar mass remains stable when compared to the prior exam. The patient status post surgery in this location.3.Please note that this exam is a limited exam for the purposes of treatment planning