Male, 62 years old, with brain metastases status post stereotactic radiosurgery. Evaluate for progression. A small hemosiderin stained resection cavity is again seen involving the left precuneus. No pathologic enhancement or new signal abnormality is detected in this vicinity. A 2 to 3 mm focus of enhancement within the left putamen with associated susceptibility effect is unchanged. No new enhancing lesions are seen. Scattered foci of nonspecific FLAIR hyperintensity within the cerebral hemispheres show no significant interval change. Diffuse prominence of the perivascular spaces is seen. No abnormal extra axial collections are detected. The ventricles are stable in size and morphology.
1.Stable postoperative findings in the left parietal lobe with no evidence of tumor recurrence.2.Stable focus of enhancement within the left putamen.3.No new intracranial lesions are seen.