33 years Male (DOB:9/8/1983)Reason: preop planning for tumor resection: fiducials 6876 History: preopPROVIDER/ATTENDING NAME: BAKHTIAR YAMINI BAKHTIAR YAMINI Since the previous exam a mass involving the genu of the corpus callosum and adjacent frontal lobe white matter and periventricular white matter and cingulate gyrus has increased in axial dimensions from 49 x 14 mm to 72 x 19 mm. There is associated vasogenic type edema surrounding this mass. There is associated patchy enhancement within the lesion.The patient is status post right frontal craniotomy and right superior frontal gyrus surgery. There is some surrounding T2 and FLAIR signal hyperintensity at the surgical bed. Some enhancement of the dura adjacent to the craniotomy site.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 demonstrate some minor opacities.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.Since the prior exam a mass involving the corpus callosum and adjacent frontal lobes has enlarged.2.The patient is status post right frontal lobe surgery.3.Please note this is a limited exam for the purpose of stereotactic guidance during surgery.