Diagnosis: Malignant neoplasm of parietal lobeClinical question: History of GBM, has received radiation, now off chemo.Signs and Symptoms: none The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post right-sided craniotomy. There is a surgical defect present along the right parietal lobe which appears stable when compared to the prior exam. There is associated surrounding T2 and FLAIR signal change of a mild degree which is also stable compared to the prior exam. There are susceptibility changes present along the margins of the surgical site. There is no associated enhancing lesion at the surgical site.The visualized portions of the paranasal sinuses demonstrate a minor mucous retention cyst in the left maxillary sinus.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Status post right parietal lobe surgery for removal of a mass. There is no evidence for recurrence.