45 years Female (DOB:2/6/1971)Reason: right vestibular schwannoma, history resection with yearly follow up for growth History: yearly follow up for tumor growthPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM The patient status post right posterior fossa surgery for removal of an acoustic neuroma. There is a punctate focus of enhancement redemonstrated deep within it currently measures approximately 2 x 4 mm and previously measured approximately the same in axial dimensions. The right internal auditory canal.There is some mild encephalomalacia along the right cerebellar hemisphere which has been stable since prior exams. There are some postoperative changes present along the right posterior fossa. These are also stable.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Examination is stable. The patient status post right posterior fossa surgery for removal of an acoustic schwannoma. There is a small focus of enhancement within the deep portion of the right internal auditory canal. This could represent scar tissue or residual tumor. It has been stable since prior exams. There are also some associated postoperative changes and mild encephalomalacia along the right cerebellar hemisphere.