Tuberous sclerosis complex and subependymal giant cell astrocytoma treated with Afinitor. There is an avidly enhancing mass in the region of the right foramen of Monro, which measures up to 32 mm. There is no significant change in the numerous bilateral lateral ventricular subependymal nodules and appearance of the ventricular system. Likewise, the numerous scattered cortical and subcortical tubers appear unchanged. There is no evidence of acute infarction or hemorrhage. The cerebral flow voids are grossly unremarkable. There are bilateral mastoid effusions. The skull and orbits appear unchanged.
No significant interval change in the subependymal giant cell astrocytoma and other intracranial stigmata of tuberous sclerosis complex.