GBM, on Avastin Again seen are postsurgical changes of right temporoparietal craniotomy for partial tumor resection involving the right temporal lobe. Nodular enhancement surrounding the right temporal resection cavity and right periatrial region is not significantly changed. Separate focus of enhancement involving the right temporal lobe cortex more anterolaterally is also not significantly changed. No new area of enhancement. There is also no significant change in extent of T2/FLAIR hyperintensity surrounding the resection cavity, the more superior right greater than left cerebral white matter, as well as along the occipital horns. Area of restricted diffusion related to treated tumor is not significantly changed. There is no significant change in size of the ventricular system which remains prominent. No evidence of acute infarct or acute hemorrhage. No new mass effect, midline shift, or herniation.
Compared to 3/24/2016, there is no evidence of tumor progression.