Brain metastases s/p SRS and laser beam. There is no significant interval change of a partially enhancing lesion in the right superior frontal gyrus that measures up to 16 mm, which was previously treated via laser ablation. There is also no significant interval change in the enhancing nodules within the right occipital lobe at the grey-white matter junction, which measures up to 5 mm. There is interval decrease in size of the left occipital lobe lesion, which measures up to 7 mm, previously 9 mm. There is an unchanged punctate right precentral gyrus lesion. There is no midline shift or herniation. The ventricles and basal cisterns are normal in size and configuration. The major cerebral flow voids are intact. The skull, orbits, and scalp soft tissues are unchanged.
The treated cerebral metastases are stable to slightly smaller overall.