61 years Female (DOB:4/23/1955)Reason: brain mets History: nonePROVIDER/ATTENDING NAME: PHILIP C HOFFMAN PHILIP C HOFFMAN The CSF spaces are appropriate for the patient's stated age with no midline shift. Incidental note is made of partial empty sella.There is a mild degree of periventricular and subcortical confluent hyperintense white matter lesions present identified on the FLAIR and T2 images. This was also present on the prior exam and has not changed significantlyThere are punctate foci of signal loss and susceptibility weighted imaging within the periventricular white matter and within the subcortical white matter. Approximately 6 or 7 such lesions identified. These are unchanged compared to the previous exam.Incidental note is made of a developmental venous anomaly in the left cerebellar hemisphere.There is a 4 mm focal enhancement in the right postcentral gyrus which is barely visible on the prior exam No edema is identified within the brain parenchyma.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 demonstrate some mild mucosal thickening. The visualized portions of the mastoid air cells are partially opacified. The visualized portions of the orbits are intact.
1.There is a lesion in the right postcentral gyrus measuring 4 mm in size is suspected to represent a new metastasis.2.There is no evidence for acute cerebral ischemic infarction3.There is diffuse periventricular white matter signal change present which is most likely treatment related.