 There is slight interval decrease in size of right perirolandic enhancing lesion with susceptibility, now measuring 14 mm x 8 mm (series 10 and image 5), previously measuring 17 mm x 10 mm. The surrounding vasogenic edema is minimally diminished compared to the prior exam. Previously noted left occipital lobe lesion is no longer definitely visible. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. There are no extraaxial fluid collections or subdural hematomas. Flow voids are present within the major vessels indicating patency. The paranasal sinuses and mastoid air cells are clear.
Slight interval decrease in size of intracranial metastasis.