Esophageal cancer. There is interval decrease in size and enhancement of the heterogeneous mass in the left temporo-occipital region, now measuring up to 25 mm, previously 34 mm. Likewise, there is interval decrease in size and enhancement of the heterogeneous mass in the left frontal lobe, now measuring up to 17 mm, previously 28 mm. In addition, the right frontal lobe lesion has also decreased in size, now measuring up to 5 mm, previously 12 mm, and no longer enhances. There is no evidence of intracranial hemorrhage or acute territorial infarct. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, orbits, and scalp soft tissues are unremarkable. However, there is fluid within the bilateral middle ears and mastoid air cells and mild scattered paranasal sinus mucosal thickening.
Interval decrease in size of the brain metastases.