52 years Male (DOB:12/17/1963)Reason: lung cancer on oral chemotherapy, evaluate response, compare to previous History: n/aPROVIDER/ATTENDING NAME: JYOTI D PATEL JYOTI D PATEL There is an enhancing mass measuring 11 x 16 mm located in the medial right temporal lobe which previously measured 9 x 7 mm axial dimensions. There is a left occipital lobe mass measuring 8 mm in diameter which previously measured 4 mm in diameter. There is a punctate right basal ganglia which is also present on the prior exam and is unchanged. There is a 6 mm lesion in the left frontal lobe within the posterior aspect of the left middle frontal gyrus which previously measured 4 mm. There is a 4 mm enhancing lesion in the left cerebellar hemisphere previously measuring the same. There is a 2 mm enhancing focus along the splenium of the corpus callosum which previously was barely visible. There is a 6 mm left temporal lobe lesion previously measured the same.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.
Since the prior exam, many of the patient's metastatic lesions have progressed in size as detailed above.