Male, 37 years old, with history of metastatic melanoma to the brain, status post SRS. A late subacute parenchymal hematoma is redemonstrated within the left frontal lobe measuring several millimeters smaller than on the prior examination. The surrounding parenchyma is hemosiderin-stained but there is no significant edema.Small foci of chronic hemosiderin staining are seen medial to the left frontal hematoma and within the right parietal lobe, corresponding to prior enhancing foci. On the current examination, no definite residual enhancement is seen at the sites of prior enhancing tumor, and no new enhancing lesions are detected.No evidence of new edema or generalized mass effect is observed. No new intracranial hemorrhage is evident. The ventricles are stable and normal in size.
1.No definite residual enhancement is seen at the sites of known treated metastatic disease, and no evidence of any new metastases.2.Slight interval decrease in the size of a subacute left frontal hematoma.