47 years Male (DOB:4/21/1969)Reason: 3 t scaner s/p resection History: surveillancePROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE The patient is status post left craniotomy and left temporal lobe surgery for removal of a left temporal lobe mass known to represent a glioblastoma. Since the prior exam postoperative effects on the left temporal lobe have regressed. There is adjacent dural enhancement. There is no clear evidence of residual enhancing neoplasm. There is a small nodular enhancement in the periphery inferiorly of the left temporal lobe which is suspected to represent meningeal reaction adherence to the pia matter. There is associated ex vacuo effect on the left lateral ventricle temporal horn.Incidental note is made of a developmental venous anomaly in the right frontal lobe.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 demonstrate opacification of the left mastoid air cells which are hypoplastic.. The visualized portions of the orbits are intact.
Since the prior examination postoperative effects in the left temporal lobe have regressed. There is no convincing evidence for tumor. Curran's at this time. A punctate focus of nodular enhancement at the inferior aspect of the left temporal lobe is suspected to represent postoperative change, follow-up exam would help confirm this.