58 years Male (DOB:8/3/1958)Reason: AA. s/p resection in 2013, then RT/TMZ. History: AA.PROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS The patient is status post right frontal lobe surgery for tumor removal. There is local gliosis and volume loss at the right frontal lobe surgical site which involves superior frontal gyrus and to lesser degree middle frontal gyrus. There is no interval change relative to the previous exam. No abnormal enhancement is appreciated at the surgical site. Cerebral blood volume is low in the tumor bed. There are some susceptibility effect within the surgical site.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 demonstrate a minor opacity in the left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
There is no evidence for local recurrence of the patient's right frontal lobe neoplasm on the current exam.