64 years Male (DOB:5/29/1952)Reason: GBM s/p chemo XRT. Please eval History: headache.PROVIDER/ATTENDING NAME: STEVEN J. CHMURA RIMAS V. LUKAS There is redemonstration of a T2 and FLAIR hyperintense lesion involving gray and white matter located the anterior aspect of the left temporal lobe which currently measures 52 x 33 mm axial dimensions and on the prior exam the same location measured the same dimensions. The patient is status post left-sided temporal lobe surgery with a hemosiderin tract in the middle of the patient's left temporal lobe lesion. There is some associated mass effect with some mild uncal herniation.Is a cystic lesion present in the right pharyngeal mucosal space measuring 10 x 17 mm in axial dimensionsNormal 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 opacified. The visualized portions of the orbits are intact.
1.There is a left temporal lobe mass present which is stable compared to the prior exam. This is known to represent a glioblastoma. No contrast enhanced imaging was performed due to the patient's inability to cooperate further with the exam. The mass associated with mass effect and mild uncal herniation.2.Motion artifact is present which may obscure more subtle abnormalities.