Diagnosis: Secondary malignant neoplasm of brain and spinal cordClinical question: hx met brain lesion. Preop planning for tumor resectionSigns and Symptoms: preop planning The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a 31 x 24 mm axial dimension heterogeneously enhancing mass centered in the left precuneus which has not changed since the prior exam. There is redemonstration of a 5 mm enhancing lesion within the left basal ganglia.There is a 3 mm extra-axial nodule present adjacent and anterior to the right frontal lobe.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.
1.There are mass lesions present in the left parietal lobe , left basal ganglia and adjacent to the right frontal lobe suspicious for metastatic disease . Please note that this examination is limited and was performed for the purposes of stereotactic guidance during surgery.