 Examination is limited to sequences for treatment planning. There are numerous, greater than 30, enhancing lesions throughout the brain which have overall decreased in size and number as noted on recent MRI brain dated 4/19/2016. There are a few lesions which demonstrates slight enlargement compared to 2/2/2016. For example a right lateral inferior frontal lobe lesion, series 401 image 101, measures 6 mm, previously 4 mm. A right posterior medial temporal lesion, series 401 image 83, measures 6 mm previously 3 mm. A left occipital lesion, series 401 image 55 measures 8 mm, previously 6 mm. There is an unchanged calcified left posterior frontal parafalcine mass with mild peripheral enhancement which is unchanged and may represent a meningioma. No evidence of significant intracranial mass effect, midline shift, or herniation. No hydrocephalus. No evidence of hemorrhage.
As noted on recent brain MRI from 4/19/2016 there is been interval decrease in size and number of the numerous intracranial metastases when compared to 2/2/2016. Few lesions demonstrate slight enlargement as detailed above.