Male, 52 years old, with GBM status post resection. Postoperative findings are again seen status post resection of tumor from the left temporal lobe. A hematoma within the operative bed has decreased in size.Irregular enhancing tissue along the operative margins continues to decrease in size when compared to the prior examinations. Ependymal enhancement along the atrium and temporal horn has also become less conspicuous. Extensive T2 hyperintensity extending throughout the temporal and occipital lobes and into the parietal lobe has not significantly changed. Prior mass effect upon the ventricle has also been relieved.No new enhancing lesions are seen. Scattered small foci of FLAIR hyperintensity elsewhere in the cerebral hemispheres are nonspecific and not significantly changed. The ventricles have returned to normal caliber and morphology. Evidence of endoscopic paranasal sinus surgery is redemonstrated with persistent frontal and ethmoid mucosal thickening.
Continued interval decrease in the size of the enhancing tissue along the left temporal operative margins. Mass effect is also improved. No new lesions are seen.