45 years Female (DOB:6/8/1971)Reason: Eval AA. Pt off all Tx. History: AAPROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS There is redemonstration of abnormal focus of heterogeneous enhancement located in the left superior parietal lobe but also involving the postcentral gyrus as well as subcortical white matter and white matter adjacent to the left lateral ventricle. It does extend into the subcortical white matter of the precuneus. Dimensions are 41 x 30 mm on FLAIR MRI on the current exam and also on the prior exam. On postcontrast imaging it measures 14 x 22 mm and is unchanged compared to the prior exam. On susceptibility imaging there are punctate foci of susceptibility effect are demonstrated.A burr hole is present along the left parietal bone.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.
Since the previous exam in December there is no substantial change in the size of the patient's left parietal lobe lesion. This is known to be the location of the patient's astrocytoma. It's quite possible that this represents radiation necrosis as well as neoplasm.