65 years Male (DOB:6/30/1951)Reason: Follow up of two 2mm brain lesions suspicious for metastatic disease History: NonePROVIDER/ATTENDING NAME: RENUKA MALIK RENUKA MALIK The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a punctate enhancing nodule in the right precuneus associated with susceptibility effect. Another punctate enhancing nodule is present in the left cerebellar hemisphere medially. It is also associated with a low but susceptibility effectThere are several punctate foci of susceptibility effect in the right periventricular white matter, right parietal lobe, left parietal lobe and right temporal lobe which are not associated with abnormal enhancement.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 couple punctate lesions which are suspicious for metastatic disease which are now associated with microhemorrhage. Previously they are not associated with a microhemorrhage2.There are several microhemorrhages in the supratentorial brain which were not readily identified on the prior exam. It is possible these are treatment related