40 years Female (DOB:1/24/1976)Reason: 3 t scanner s/p tumor resection History: surveillancePROVIDER/ATTENDING NAME: PETER C. WARNKE PETER C. WARNKE There is a small hemorrhagic focus present in the left paracentral lobule which currently measures 4 x 5 mm axial dimensions and previously measured 8 x 7 mm axial dimensions. There is less surrounding T2 signal hyperintensity present. Patient is status post left parietal craniotomy just behind the coronal suture. The needle tract courses from the craniotomy site to the left paracentral lobule lesion.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
A left paracentral lobule hemorrhagic lesion is smaller on the current exam compared to the prior exam. The patient status post recent biopsy of this lesion. It is known to represent a low grade glioneuronal lesion based on biopsy.