46 years, Female, metastatic cervical cancer status post whole brain radiation therapy.. Compared to MRI dated 7/31/2015 and 7/23/2015, interval postsurgical changes of right frontal craniotomy for biopsy are seen. Again seen is abnormal dural thickening and enhancement as well as leptomeningeal enhancement along the right middle frontal gyrus, which is mildly decreased compared to 7/23/2015. Associated vasogenic edema also is decreased in the interval. Dural and leptomeningeal enhancement at the right anterior frontal pole appears similar to prior from 7/31/2015. Vasogenic edema in this region is minimally decreased in the interval.No new parenchymal or meningeal enhancement or mass is appreciated. No significant intracranial mass effect. No evidence of recent ischemia or hemorrhage. Minimal chronic blood products are noted in the right middle frontal gyrus. No extra-axial collections. No hydrocephalus. Calvarium and extracranial soft tissues are grossly unremarkable.
1. Compared to preoperative MRI studies from 7/23/2015 and 7/31/2015, there is slight decrease in dural and leptomeningeal enhancement related to known metastatic disease along the right middle frontal gyrus with also decrease in associated edema. Dural and leptomeningeal enhancement along the right anterior frontal pole is not significantly changed. There is however mild decrease in associated edema. 2. No new parenchymal or meningeal enhancement or new mass lesion is evident.