71 years, Male, brain tumor, for laser ablation. Examination is obtained for operative planning and intraoperative navigation. Enhancing masses involving the posterior frontal lobe along the precentral gyri are again seen, right larger than left. Placement of laser fiber into the larger right frontal lesion is evident. Surrounding vasogenic edema appears similar to prior. Ventricles are also similar to prior. No new midline shift or herniation is evident. Previously seen lateral left cerebellar lesion is not imaged on current study. Punctate lesions near the right superior aspect of the insular cortex and along the left lateral temporal surface are also noted and present previously on 10/5/2016.
1. Examination for laser ablation of the right posterior frontal mass.2. Multiple additional metastases as described above appears similar to 10/5/2016.