Clinical question: Follow-up progression. Signs and symptoms: History of brain tumor. Pre-and post-enhanced brain MRI:Examination demonstrate extensive flair hyperintensity throughout the right hemisphere white matter without associated mass effect which remains identical to prior study. In the high convexity right anterior parietal lobe and right posterior temporal occipital region similar to prior exam there are linear irregular foci of T1 hyperintensity suggestive of mineralization. Susceptibility signal changes in the right posterior temporal -- occipital and right high convexity anterior parietal region also remains stable and consistent with chronic hemorrhagic changes.There is very minimal enhancement at the site of mineralization in the right parietal lobe without appreciable change since prior exam. Findings is suggestive of posttreatment change. There is no convincing evidence of abnormal enhancement at the hemorrhagic surgical site in the right posterior temporal -- occipital region.
1.No significant interval change since prior exam.2.Revisualization of stable postoperative changes in the right posterior temporal -- occipital region and including chronic hemorrhage and mineralization and without detectable abnormal enhancement.3.Stable focus of flair/T2 hyperintensity and mineralization in high convexity right anterior parietal lobe with very subtle enhancement which is highly suggestive of posttreatment change.4.Stable extensive flair hyperintensity of right hemisphere and to a lesser degree of the periventricular and subcortical white matter of left hemisphere without evidence of mass effect since prior exam and likely representing posttreatment changes.