55 years Female (DOB:6/20/1961)Reason: postop from resection of right cerebellar tumor History: postopPROVIDER/ATTENDING NAME: BAKHTIAR YAMINI Patient is status post posterior fossa surgery for removal of the right cerebellar mass. There is heterogeneous signal within the tumor bed. No enhancing mass is appreciated currently there is a small fluid collection present at the craniotomy site. There is T2 and FLAIR signal hyperintensity surrounding the tumor bed.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 are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
Status post removal of a right cerebellar mass. There are postoperative changes present at the surgical site. There is no convincing evidence for residual tumor at this time. The fluid collection at the surgical site is most likely related to immediate postoperative change though is nonspecific. A follow-up exam with help further assess this.