55 years Female (DOB:11/15/1961)Reason: stage IV uveal melanoma assess for dse status prior to study enrollment. History: uveal melanomaPROVIDER/ATTENDING NAME: JASON JOHN LUKE JASON JOHN LUKE The right eye appears circumferentially distortedThe CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There are several periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images.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 ethmoid air cells.. The visualized portions of the mastoid air cells are clear.
1.Please note that ophthalmoscopy may be more sensitive in evaluation of uveal melanoma a relative to MRI of the brain. The patient is status post right eye treatment.2.There is no evidence for brain metastases.