 There are postsurgical findings related to right paramedian frontal lobe tumor, with diffuse nodular enhancement along the resection cavity, more prominent anteriorly. There is trace leptomeningeal enhancement along the marginal branch of the right cingulate sulcus, which is unchanged. Extensive T2 hyperintensity that likely represents vasogenic edema in much of the upper right cerebral hemisphere white matter persists. There is no evidence of acute infarction. There is slight midline shift to the left. There is a small right cerebellar hemisphere developmental venous anomaly. The skull and extracranial structures appear to be unchanged.
Postoperative findings with persistent abnormality along the right paramedian frontal lobe, which is suspicious for residual tumor. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.