46 years, Female, resected brain metastasis status post SRS, restaging evaluation.. Again seen are postsurgical changes of right occipital craniotomy for tumor resection. No residual or recurrent enhancing tumor is identified. There is minimal FLAIR hyperintensity and volume loss involving the right occipital cortex compatible with encephalomalacia. No significant change in enhancement at the craniotomy site favored to represent granulation tissue. No new parenchymal or meningeal enhancing lesion is appreciated in the brain. No suspicious calvarial lesions.No evidence of recent ischemia or hemorrhage. No intracranial mass effect, midline shift, or herniation. Vascular flow-voids are preserved. No hydrocephalus. No extra-axial collections. Diffuse right maxillary sinus opacification again seen.
Postoperative changes of resection of right occipital metastasis. No residual or recurrent tumor in the surgical bed is appreciated. No new lesions to suggest metastatic disease elsewhere in the brain are appreciated.