Diagnosis: Malignant neoplasm of parietal lobe of brainClinical question: 20 yo woman with a history of GBM for followup scanSigns and Symptoms: 20 yo woman with a history of GBM for followup scan The patient is status post right parietal lobe surgery. There are signal changes with a T2 and FLAIR hyperintensity along the medial aspect of the surgical bed. This appearance is stable when compared to the previous exam. There are susceptibility changes present along the margins of the surgical site. There is no associated contrast enhancement.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 only demonstrate minor opacities in the left ethmoid air cells and left maxillary sinus. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Status post right parietal lobe surgery for removal of a mass. There is no evidence for recurrence.