Clinical question: Preop planning for tumor resection. Signs and symptoms: Preop planning. Pre and post enhanced brain MRI:Examination is performed utilizing surgical planning study and is not a true diagnostic test.Examination demonstrates multiple parenchymal enhancing lesions as was seen on prior exam.The largest enhancing necrotic tumor in the right posterior parietal measures approximately at 11 x 14 mm in size without significant change since prior exam.Second largest lesion is also in the left posterior parietal lobe and measuring at 6 x 6 mm in transaxial dimensions without change since prior study.A tiny enhancing metastatic lesion in the inferior right frontal lobe measures maximum of 4.5 mm in size is noted. Tiny focus of enhancement along the ependymal lining of the right frontal horn of the lateral ventricle measures approximately 3.3 mm in size. Additional previously noted tiny metastatic lesions are again noted and unchanged since prior exam.Ventricular system remain stable in size and with deviation maintained midline.
Multiple intracranial enhancing metastatic lesions as detailed/measured above.