Per EPIC, past medical history significant for "brain tumor", hepatitis C, epilepsy, alcohol abuse, and hypertension who presents with headaches. There are post-surgical changes related to a remote right temporal craniotomy. There is a surgical cavity with surrounding mild confluent T2 hyperintensity in the right inferior temporo-occipital region. There is ex vacuo dilatation of the right occipital horn. There is mild dural enhancement along the right tentorium, which is likely treatment-related. There is otherwise no evidence of abnormal intraparenchymal enhancement. There is no definite evidence of elevated relative cerebral blood volume. There is no evidence of acute intracranial hemorrhage or acute cerebral infarction. There is diffuse prominence of the cerebellar sulci. There are a few scattered foci of nonspecific susceptibility effect in the right cerebellar hemisphere. There is no midline shift or herniation.
1. Post-surgical changes in the right temporo-occipital region with mild surrounding signal abnormality that may be treatment-related, but no appreciable mass effect to suggest tumor. However, the evaluation is limited without the availability of prior imaging and without specific information regarding the particular tumor type.2. Diffuse cerebellar atrophy, which may be related to seizure medication or alcohol abuse.