Male, 65 years old, with brain metastases from primary salivary gland adenocarcinoma status post stereotactic radiosurgery to a left occipital lesion. A linear focus of intrinsic T1 hyperintensity and minimal if any superimposed enhancement is seen at the site of a treated lesion at the left occipitotemporal junction. Minimal residual T2 signal abnormality is seen in this area similar to prior.No new enhancing lesions are seen. A few scattered foci of white matter T2 hyperintensity are redemonstrated, unchanged and nonspecific. No evidence of parenchymal edema or mass effect is seen. No intracranial hemorrhage or any abnormal extra-axial fluid collection is detected. The ventricles are normal in size and morphology. Trace fluid signal is seen in the left mastoid air cells.
Stable findings are seen related to treatment of a left occipitotemporal junction metastasis. No findings are seen to suggest any new intracranial metastases.