 No definite new intracranial metastasis is identified. Redemonstrated are numerous small to punctate intra-axial high intrinsic T1 signal lesions with enhancement consistent with known metastases. 1.Stable to slightly smaller left medial frontal enhancing lesion on series 1201 image 126 which measured 4 mm previously, now measuring 3 mm.2.Larger left frontal lobe lesion on series 1201 image 116 measuring 5 mm3.Stable punctate focus of enhancement in the left middle cerebellar peduncle on series 1201 image 554.Stable 6 millimeter lesion in the right temporal lobe on series 1201 image 645.Stable to slightly smaller left temporal lobe lesion measuring 7 mm, previously 8 mm on series 1201 image 756.Stable right temporal lobe lesion on series 12 on image 77 measuring 5 mm7.Slightly smaller left posterior insula lesion measuring 4.5 mm compared to 6 mm previously on series 1201 image 100There is a stable focus of somewhat gyriform susceptibility effect involving the left precentral gyrus and the left middle frontal gyrus. No significant edema or mass-effect with any of these lesions. No evidence of acute infarct. No hydrocephalus. There is left maxillary sinus mucosal thickening.
1. Mixed response to interval therapy with mostly stable lesions. There is one lesion in the left frontal lobe which appears slightly larger than the prior examination, as described above. No definite new metastatic lesion is identified.2. No significant edema or mass effect with any of the lesions.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.