Clinical question: Reoperative for OR on 5-20. Signs and symptoms: Right parietal brain tumor. Pre- and postenhanced brain MRI:Examination demonstrates a loculated necrotic or cystic enhancing mass in the right posterior temporal-occipital region with extensive surrounding vasogenic edema. The enhancing tumor measures approximately at 23 x 26 mm in transaxial and 27 mm in craniocaudad axis. Mass effect is regional and without deviation of midline. There is no evidence of any additional parenchymal, leptomeningeal or calvarial enhancement. Ventricular system remains within normal size and maintained midline. There is however prominence of cortical sulci and cerebellar-vermian folia for the stated age of 46 concerning for underlying parenchymal volume loss.
1.Loculated cystic enhancing tumor in the right posterior temporal-occipital measuring 23 x 26 x 27 mm with surrounding vasogenic edema resulting in regional mass effect without deviation of midline.2.Prominence of cortical sulci and cerebellar-vermian folia for the stated age of 46.3.No additional foci of parenchymal, leptomeningeal or calvarial enhancement.