53 years Female (DOB:6/1/1963)Reason: Metastatic breast cancer s/p SRS surveillance eval History: Metastatic breast cancer s/p SRS surveillance evalPROVIDER/ATTENDING NAME: STEVEN J. CHMURA SERVICES ANCILLARY The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a ring-enhancing lesion present in the left cerebellar hemisphere which measures 16 x 11 mm axial dimensions and previously measured 22 x 15 mm axial dimensions. It has low signal on diffusion-weighted imaging. The ring enhancement involves a very thin ring.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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.
A left cerebellar hemisphere cystic mass has decreased in size when compared to the prior exam.