Altered mental status for preoperative planning. This is a limited stealth MRI of the brain for preoperative planning. There is an irregular, heterogeneously enhancing mass in the right temporal lobe with internal necrotic as well as nodular components, measuring approximately 56 x 38 x 42 mm (AP x TR x CC). There are at least three adjacent small satellite lesions including one along the lateral dural surface of the right inferior temporal lobe . There is associated T2 signal abnormality surrounding the mass. There is regional mass effect on the right lateral ventricle and right aspect of the midbrain, with a right to left midline shift of 11 mm. There is right uncal herniation. The skull and extracranial soft tissues are unremarkable.
1. Limited stealth MRI of the brain for preoperative planning. 2. A 56 mm heterogeneously enhancing mass in the right temporal lobe with three satellite lesions, exerts local mass effect on the right lateral ventricle and right aspect of the midbrain and produces a right to left midline shift of 11 mm and mild uncal herniation. Finding is favored to represent high-grade glial neoplasm although metastasis remains a less likely possibility. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.