42 years Female (DOB:10/5/1974)Reason: Grade 2 oligoastrocytoma on TMZ. History: grade 2 oligoastrocytoma.PROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS The patient is status post right sided frontal craniotomy. As a surgical defect involving the right inferior frontal gyrus and right middle frontal gyrus. There is T2 and FLAIR signal hyperintensity surrounding this defect. The extent of the N T2 signal hyperintensity is similar to the 5/19/2016 exam. There is associated exit vacuo effect on the right lateral ventricle. Some punctate foci of susceptibility are present along the surgical resection site. There is no associated contrast enhancementThere are several punctate foci of signal loss and susceptibility imaging within the subcortical and periventricular white matter.Normal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Status post right frontal lobe surgery for surgical removal of a primary neoplasm known to represent a grade 2 oligoastrocytoma. The appearance of the surgical bed is stable. There is no current evidence for recurrence.