46-year-old female with history of cervical cancer and brain metastases status post WBRT. The patient is status post right frontal craniotomy for removal of a right middle frontal gyrus metastasis with interval evolution of the blood products in the treatment bed. There is a more prominent focus enhancement in the anterior margin of the treatment bed that measures up to 10 mm and a new nodular focus of enhancement along the posterolateral margin of the treatment bed that measures up to 7 mm. There is persistent surrounding vasogenic edema. There is no evidence of intracranial hemorrhage or acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is mild frontal sinus mucosal thickening, as well as patchy mucosal thickening involving the anterior ethmoid air cells. The orbits, skull, and scalp soft tissues are unchanged.
Post-treatment findings in the right frontal lobe with a more prominent focus enhancement in the anterior margin of the treatment bed that measures up to 10 mm and a new nodular focus of enhancement along the posterolateral margin of the treatment bed that measures up to 7 mm. These may represent tumor progression and/or treatment effects.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.