Pressure and pain. History of left occipital occipital scalp hemangioma resection. Rule out recurrence. There are unchanged postoperative changes in the left posterior scalp and underlying skull spanning the proximal, occipital and suboccipital regions. In addition, the multilobulated, T2-hyperintense, intensely contrast enhancing residual left suboccipital scalp mass is unchanged. In the axial plane, the largest, left suboccipital component of the lesion measures 5.9 cm x 1.2 cm (series #1301, image #13) compared to 6.0 cm x 1.2 cm previously. The smaller left parietal scalp lesion is minimally larger and now measures in the axial plane 1.2 cm x 0.7 cm (series #1301, image #24) compared to 1.1 cm x 0.5 cm in May 2012. A similar right parieto-occipital scalp lesion that measures in the axial plane 1.4 mm x 0.6 mm is new since May 2012 examination. The prominent left parietal cortical veins remain unchanged.Focal encephalomalacia involving the posterior left parietal lobe remain unchanged. The remainder of the brain is unremarkable without acute infarct or intracranial hemorrhage. The ventricles and other CSF-containing spaces are unchanged. There is no midline shift or brain herniation.There is no gross orbital abnormality. Mastoid air cells are clear.
1.Unchanged residual left suboccipital scalp hemangioma and associated postoperative change.2.The small left parietal scalp hemangioma is minimally larger than on the previous examination as above.3.A similar small lesion has developed in the right parieto-occipital scalp since the previous examinations. 4.Unchanged small left parietal encephalomalacia and other posttreatment findings.