42 years Male (DOB:1/30/1974)Reason: brain lesion History: brain tumor, haPROVIDER/ATTENDING NAME: RAYMOND ROOS RAYMOND ROOS There is redemonstration of a ring-enhancing mass centered along the left gyrus rectus associated with vasogenic pattern of edema in the left inferior frontal lobe white matter and to a lesser degree right inferior medial frontal lobe white matter.There are small foci of volume loss associated with T2 signal hyperintensity present in the left cerebellar hemisphere and left occipital lobe.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 demonstrate minor opacities. The visualized portions of the orbits are intact.
1.There is a left frontal lobe ring-enhancing mass present which is suspicious for a pyogenic abscess centered in the left gyrus rectus displacing the left medial frontal lobe across the midline.2.Foci of encephalomalacia are redemonstrated in the left cerebellar hemisphere and left occipital lobe.3.Examination was obtained for stereotactic surgical guidance