Female, 55 years old, with anaplastic astrocytoma status post RT/TMZ + TMZ. Cortical thickening involving the left anterior temporal tip, the amygdala and insula is unchanged over multiple prior examinations. No pathologic enhancement is seen in these areas. Ill-defined periventricular T2 hyperintensity along the left lateral ventricle is also unchanged and may be related to treatment effect. A few additional scattered punctate foci of subcortical T2 hyperintensity in the adjacent white matter are nonspecific. No pathologic parenchymal enhancement is seen. A developmental venous anomaly is redemonstrated in the left thalamus. Ventricular size and morphology are stable and normal.
Stable thickening of the left anterior temporal tip, amygdala and insula with no specific findings to suggest progressive disease.