Female, 63 years old, with right posterior frontal and right paracentral lobule brain masses. Preoperative planning examination. A rim-enhancing mass is evident within the posterior right frontal lobe with moderate surrounding edema extending superiorly to the vertex and inferiorly to the operculum. There has been no significant interval change in the size of this lesion.A second much smaller enhancing mass is evident within the right paracentral lobule with minimal edema tracking inferiorly. This lesion also shows no significant interval change.Within the limitations of motion degradation, no new enhancing intracranial lesions are detected. There is a generalized midline shift to the left of 5 to 6 mm. Ventricular size and morphology remain within acceptable limits.
Limited sequences for surgical planning redemonstrate two enhancing masses within the right cerebral hemisphere, one in the posterior right frontal lobe and another smaller lesion in the right paracentral lobule. There has been no significant interval change.