55-year-old man with history of metastatic squamous cell carcinoma of the base of tongue. There are multiple enhancing lesions in the cerebellum bilaterally, which demonstrate increased associated vasogenic edema. Comparison with the prior exam is otherwise limited due to the previous lack of intravenous contrast. There is no evidence of residual enhancing supratentorial or intraocular lesions. There is no evidence of acute infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull and scalp soft tissues are grossly unremarkable. There is a left maxillary sinus retention cyst. There is persistent bilateral tympanomastoid fluid. There is partly imaged right submandibular and cervical lymphadenopathy, base of tongue tumor, and right paraspinal tumor at the craniocervical junction region.
1.Multiple enhancing lesions in the cerebellum bilaterally with increased associated vasogenic edema may indicate tumor progression. However, comparison with the prior exam is otherwise limited due to the previous lack of intravenous contrast. 2.Partially imaged submandibular and cervical lymphadenopathy, base of tongue tumor, and right paraspinal tumor at the craniocervical junction region. Please refer to the recent neck CT report for additional details.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.