58 years Female (DOB:9/18/1958)Reason: fu on GBM (previous loaded into isite under her name) History: GBMPROVIDER/ATTENDING NAME: BROOKE E PHILLIPS RIMAS V. LUKAS There is a 30 x 21 mm axial dimension mass present centered in the right frontal lobe involving the right precentral gyrus along its lateral aspect. There is an adjacent craniotomy defect products. This associated with peripheral enhancement.There is a 22 x 21 mm axial dimension mass centered in the medial aspect of the right temporal lobe is a hemosiderin tract extending from the right occipital lobe to this lesion. This associated with peripheral enhancementThere is a vasogenic pattern of edema involving the right temporal lobe and right frontal lobe as well as right parietal lobe associated with the above described lesions. There is associated mild uncal herniation.There is T2 and FLAIR signal hyperintensity to a lesser degree are present in the left hemisphere.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.
There are mass lesions present in the centered right medial temporal lobe and the right postcentral gyrus which are associated with vasogenic edema and mass effect and mild uncal herniation.. The patient is status post surgical intervention with regards to both masses. The patient is known to have glioblastoma based on the clinical history.