Clinical question: Patient with esophageal cancer, status post chemotherapy, evaluate for disease to status and compared with prior. Signs and symptoms: Pericardial cancer. Pre-and post-enhanced brain MRI:Examination demonstrate interval improvement in postoperative enhancement in the left frontal lobe since prior exam. There is however no significant change of the surrounding flair hyperintensity in the pattern of vasogenic edema demonstrate no significant change.There is revisualization of right inferior frontal, right anterior temporal and superior left cerebellar and right inferior cerebellar enhancing metastatic lesions without definitive evidence of interval change since prior exam in their size and pattern of enhancement.Residual surrounding flair hyperintensity of these lesions also remain nearly identical to prior exam.There is periventricular and subcortical flair hyperintensity of bilateral cerebral hemisphere likely representing treatment/radiation changes.There is no evidence of new metastatic lesions.
1.Revisualization of multiple supra-and infratentorial metastatic lesions without convincing evidence of change in their size, pattern of enhancement or their surrounding or hyperintensity.2.Slight interval decrease in postsurgical enhancement at the surgical site in the left frontal lobe.3.No detectable pneumatized and lesions.4.Stable white matter flair hyperintensity suggestive of treatment-related changes.