45 years, Female, ovarian cancer with brain metastasis, status post resection and SRS. Again seen are postsurgical changes of right occipital craniotomy for tumor resection. No residual or recurrent enhancing tumor is identified. There is minimal FLAIR hyperintensity and volume loss involving the right occipital cortex compatible with encephalomalacia. There is increased enhancement at the craniotomy site favored to represent granulation tissue. There is decrease in postoperative dural enhancement within this region. No new parenchymal or meningeal enhancing lesion is appreciated in the brain. No suspicious calvarial lesions.No evidence of recent ischemia or hemorrhage. No intracranial mass effect, midline shift, or herniation. Vascular flow-voids are preserved. No hydrocephalus. No extra-axial collections. Diffuse right maxillary sinus opacification/sinusitis again seen.
Postoperative changes of resection of right occipital metastasis. No residual or recurrent tumor in the surgical bed is appreciated. No new lesions to suggest metastatic disease elsewhere in the brain are appreciated.