Brain metastases from renal cancer. There are postoperative findings related to right frontal craniotomy with confluent T2 hyperintensity in the right frontal lobe white matter surrounding a resection cavity. There is no midline shift. The basal cisterns are patent. There is no significant change in size of two subcentimeter cerebellar lesions or a few punctate right frontal lobe lesions with mild enhancement. A lesion in the right cerebellar hemisphere and a lesion in the right frontal lobe are associated with susceptibility effect. There is no evidence of acute infarction. The ventricles are unchanged in size. The orbits and paranasal sinuses are grossly unremarkable. There is perhaps slight interval decrease in size of the left inferior parietal bone enhancing lesion, which measures up to 10 mm. There is dolichocephaly.
1.No significant interval change in size of the subcentimeter supratentorial and cerebellar metastases and post-treatment findings.2. Perhaps slight interval decrease in size of the left inferior parietal bone enhancing lesion.