 Multiple enhancing lesions are again identified. A right post central gyrus lesion (series 401, image 142) appears smaller than the prior examination with decreased enhancement and internal signal compatible with necrosis. The degree of surrounding vasogenic edema also appears decreased on the current examination. Small enhancing nodules in the right frontal lobe, right basal ganglia, and left cerebellum appear smaller. The ventricles and sulci are normal in size. There is no susceptibility artifact to indicate intracranial hemorrhage. Flow voids are present within the major vessels indicating patency.
Multiple intracranial metastases as described above appearing smaller than the prior examination with slightly decreased edema.