20 old female with with B cell lymphoma and known brain metastasis presents with headache and neck stiffness x 7 days. Interval resolution of the vasogenic edema within the left cerebral hemisphere. No definite evidence of the previously described mass on this study. High density material within the right transverse sinus which appears new when compared to the prior study.There is no evidence of intracranial hemorrhage or midline shift. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.
1. Interval resolution of the vasogenic edema involving the left hemisphere. No definite evidence of a mass within the limitations of this noncontrast study.2. High density material within the right transverse sinus possibly represents thrombosis. An MRI is recommended for further evaluation.These findings were discussed with Dr. Powell at the time of this dictation.