Female, 71 years old, with history of brain metastases, assess for interval changes. Irregular enhancement along the cortex of the right inferior parietal lobule has subjectively become slightly more prominent with slightly increased FLAIR hyperintensity. A punctate focus of enhancement along the cortex of the left postcentral gyrus has not significantly changed. No new enhancing lesions are seen.No significant generalized parenchymal edema or mass effect is noted. No abnormal extra-axial fluid collections are observed. The ventricles remain normal in size and morphology.
1.The previously treated left precentral gyrus lesion remains stable relative to the prior examination.2.Irregular enhancement along the cortex of the right inferior parietal lobule has very slightly increased in prominence with a slight associated increase in FLAIR hyperintensity. Although this minimal degree of change is probably not adequate to allow for a confident diagnosis of progressive metastatic disease, close interval follow-up is advised.3.No new intracranial lesions are detected.