Re-evaluate disease status following progression/initiation of new immunotherapy treatment: Stage IV melanoma. There has been interval decrease in size of the right sinonasal mass. The lesion in the left lateral rectus muscle has also decreased in size. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact.
1. No evidence of intracranial metastases.2. Interval decreased in size of the right sinonasal and left lateral rectus muscle metastases.