Metastatic carcinoma, preop planning for tumor resection. There are postoperative findings related to right frontal and right suboccipital craniotomy. There is minimal linear intrinsic T1 hyperintensity versus enhancement along the margin of the right temporal lobe resection cavity. There is a lesion in the right cerebellar hemisphere that measures up to 10 mm. There is also a lesion in the right occipital lobe that measures up to 20 mm. There is a small right middle frontal gyrus developmental venous anomaly. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. Skin-based fiducial markers are present.
Pre-treatment planning sequences demonstrate postoperative findings in the right anterior temporal lobe and right cerebellar hemisphere, with a subcentimeter lesion in the right cerebellar hemisphere treatment bed, and a lesion in the right occipital lobe compatible with metastases, but no convincing evidence of recurrent tumor in the right temporal lobe.Discussed with Dr. Chmura at 11:45 AM on 5/14/15.