58 years Female (DOB:8/15/1958)Reason: preop planning for tumor resection History: headachesPROVIDER/ATTENDING NAME: BAKHTIAR YAMINI BAKHTIAR YAMINI The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a mass centered in the right temporal lobe with peripheral enhancement and the nodular areas measuring approximately 56 x 33 mm axial dimensions which appears similar in size relative to the previous exam. There is surrounding T2 and FLAIR signal hyperintensity. There is associated mass effect with mild uncal herniation. The patient status post right temporal lobe surgery. There is several millimeters midline shift presentNormal 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.
1.Examination was performed the purpose of stereotactic guidance for surgery and is limited for that purpose. There is a right temporal lobe mass present associated with mass effect with mild uncal herniation as well as mild transtentorial herniation. There is several millimeters midline shift present