Female, 69 years old, with metastatic melanoma, with brain mets, RT planning. Again seen is a hemorrhagic mass within the left cerebellum showing no significant interval change in overall size compared to the immediate prior examination. As before, this lesion induces edema in the surrounding parenchyma and causes mass effect upon the fourth ventricle. Hemosiderin stained encephalomalacia is redemonstrated within the left occipital lobe and in the right parietal lobe. A small hemosiderin stained lesion is also seen within the left superior frontal gyrus. None of these lesions demonstrates enhancement and they show no significant interval change when compared to the prior examination. However, they do not appear to have been present in 2013.
1.No interval change in the size of a large left cerebellar hemorrhagic mass.2.Chronic appearing hemorrhagic lesions of the left occipital lobe, right parietal lobe, and left superior frontal gyrus have not significantly changed from the immediate prior examination, though they were not present in 2013.