Secondary malignant neoplasm of brain [C79.31] / Secondary malignant neoplasm of other parts of nervous system [C79.49], Reason for Study: ^Reason: history brain mets nad SRS please compare History: headache Redemonstration of enhancing lesions one on the left postcentral gyrus (about 5 mm) and somewhat patch and irregular enhancing lesions on the right inferior parietal lobule. Comparing to prior scan, left post central gyrus enhancing lesion is more conspicuous than prior however measured the size appears to be similar.The right inferior parietal lobule lesion does not show any significant interval change.There is no evidence of new abnormal enhancing lesion on the scan.There is no evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci and cisterns are unremarkable. The midline structures and cranial-cervical junction are normal. Normal flow voids are identified in the major intracranial vessels. The paranasal sinuses and mastoid air cells are clear.
1. Stable 2 previously seen enhancing lesions, one at the right inferior parietal lobule and another at the left post central gyrus since prior scan.2. No evidence of new abnormal enhancing lesion.3. No evidence of acute ischemic or hemorrhagic lesion.