Diagnosis: Secondary malignant neoplasm of unspecified siteClinical question: pt with met melanoma and slurred speech please eval for brain metsSigns and Symptoms: met melanoma The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of status post left-sided craniotomy. A focus of encephalomalacia is redemonstrated in the left temporal lobe. There is associated ex vacuo effect along the adjacent left lateral ventricle.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.
1.Status post left temporal craniotomy and left temporal lobe surgery.2.No evidence for brain metastases at this time.