20 years Male (DOB:8/31/1996)Reason: history of DNET status post resection,, yearly follow up, noted Flair signal in tumor bed History: yearly follow upPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM The patient is status post left sided craniotomy for removal of a left frontal lobe mass. There is a defect present along the left precentral gyrus measuring 14 x 8 mm in axial dimensions and 11 x 8 mm in coronal dimensions. This has not changed since the prior exam. 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.Incidental note is made of cavum septum pellucidum The visualized portions of the paranasal sinuses demonstrate partial opacification of the right ethmoid air cells and mucosal thickening in the right maxillary sinus and right frontal sinus. The visualized portions of the mastoid air cells demonstrate some minor opacities in the right mastoid air cells. The visualized portions of the orbits are intact.
1.Status post left-sided craniotomy for removal of a left frontal lobe mass known to represent a this dysembryoplastic neuroectodermal tumor. In general the appearance of the tumor bed remains stable including the FLAIR signal hyperintensity. Due to the slow growing nature of this type of tumor residual tumor cannot be excluded on the basis of size changes along a relatively short interval.