Clinical question: Brain tumor, surgical planning pre-and post enhanced MRI. Signs and symptoms: Brain tumor. Pre-and post enhanced stealth brain MRI:Examination is performed utilizing surgical planning protocol and is not a true diagnostic exam.Examination demonstrates a single large necrotic mass in the left superior temporal gyrus measuring at 50 x 35-mm in transaxial dimensions and 32-mm in craniocephalad axis.The lesion demonstrates extensive surrounding vasogenic edema and with resultant effacement of adjacent cortical sulci, subtle mass effect on the left lateral ventricle and trace midline shift to the right. No evidence of ventriculomegaly.No additional detectable abnormal parenchymal or leptomeningeal enhancement.
A single large necrotic and partially enhancing mass (50 x 35 x 32-mm) in the left superior temporal gyrus as detailed above. No prior exams for comparison.