36 years, Male, melanoma with newly diagnosed brain lesions. Examination for SRS treatment planning. There are multiple enhancing lesions in the brain. There are two lesions within the left frontal lobe, best seen on axial post gadolinium series 501 image 110 and 108 and measuring 4 mm and 6 mm, respectively. There is also a 5 mm lesion in the right parietal lobe, image 128. No associated hemorrhage is appreciated. No significant edema, intracranial mass effect, midline shift, or herniation. Ventricles and sulci are normal in size. Major vascular structures appear patent. Calvarium and extracranial soft tissues are grossly unremarkable. These lesions are not evident on outside study from 6/10/2015.
Examination for treatment planning demonstrates three subcentimeter enhancing lesions in the left frontal lobe and right parietal lobe as detailed above and consistent with metastatic disease.