70 years Female (DOB:4/21/1946)Reason: s/p srs surgery History: surveillancePROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE There is redemonstration of right frontal craniotomy and encephalomalacia in the right frontal lobe. There is associated T2 and FLAIR signal hyperintensity within the right superior frontal gyrus and part of the right middle frontal gyrus as well as a small portion of the right precentral gyrus and paracentral lobule. There is some associated ex vacuo effect on the right lateral ventricle. The enhancing lesion continues to decrease in size.There is redemonstration of T2 and FLAIR signal hyperintensity within the subcortical white matter extending to the periventricular white matter of the left occipital lobe which was also present on the prior exam and has not changed. There is associated heterogeneous lesion centrally within this as well as susceptibility artifact. Small amount of contrast enhancement is present within the area of susceptibility artifact.There is redemonstration of punctate foci of signal loss on susceptibility imaging within the cerebellar vermis, right cerebellar hemisphere, left cerebellar hemisphere. These are unchanged.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Findings are compatible with previously treated lesions in the right frontal lobe and left occipital lobe. The left occipital lobe lesion continues to decrease in size.