64 years Female (DOB:9/26/1951)Reason: NSCLC with newly diagnosed brain mets; RT planning History: RT planningPROVIDER/ATTENDING NAME: STEVEN J CHMURA STEVEN J CHMURA The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of 2 ring-enhancing lesions along the left superior frontal gyrus one measures 10 x 8 mm axial dimensions and the other one measures 10 x 11 mm axial dimensions. These are similar dimensions the prior exam. Enhancement is more prominent on the prior compared to the current exam which may be related to technique. There is associated T2 signal hyperintensity along the left superior frontal gyrus white matter in a vasogenic pattern. As was also present on the prior exam.There is a 7 mm T2 hyperintense lesion present along the left parotid gland posteriorly. It appears that also been present on the prior exam.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 demonstrate opacification of right mastoid air cells. The visualized portions of the orbits are intact.
1.A couple ring-enhancing lesions present in the left frontal lobe which are relatively stable compared to the prior exam. Differential considerations include metastatic disease as well as septic emboli. Please correlate with patient's clinical symptoms2.Examinations performed the purpose of stereotactic guidance for treatment planning.