Right arm and leg weakness. There is a heterogeneous hypodensity associated with calcifications located in the left parietal lobe. This finding was present on the recent MRI of the brain. There are periventricular hypodensities present which are matched with periventricular white matter changes identified on the recent MRI of the brain. There is no evidence for a new hemorrhage. There are calcifications present along the left parietal lobe and gyral structures.The patient is status post left-sided craniotomy.Limbic calcifications are present in the right eyeballThe visualized mastoid air cells and middle ears are clear. Visualized ethmoid and frontal sinuses are clear.
1.Status post left sided craniotomy for brain tumor. There is associated the mass effect at the site of the enhancing tumor identified on a recent MRI comparing to the previous CT scan from February there appears to be progression. If clinically appropriate to more accurately explain the patient's symptoms an MRI of the brain may be of benefit. There is no acute hematoma identified within the tumor bed rather there appear to be gyral calcifications along medial tumor bed.2.Periventricular hypodensities of a marked degree are present and have been present since the prior MRI exam and were less conspicuous on the February exam. This could represent post treatment change or tumor infiltration. The former more likely.