History of metastatic melanoma with brain metastasis treated with CTX: visual changes and headaches. There is a cystic tumor with a heterogeneously enhancing mural nodule in the left occipital lobe and surrounding vasogenic edema that measure up to 45 mm. There is a cystic tumor with a heterogeneously enhancing mural nodule and layering susceptibility effect from hemorrhage in the left cingulate gyrus and surrounding vasogenic edema that measures up to 17 mm. There is a heterogeneously enhancing tumor in the left postcentral gyrus with surrounding vasogenic edema that measures up to 10 mm with surrounding vasogenic edema. There is a cystic tumor with heterogeneous mural nodule with surrounding vasogenic edema that spans the right occipital and parietal lobes and measures up to 42 mm. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. There is no evidence of acute infarction. There is a left maxillary retention cyst. There are post-operative findings related to left posterior parietal craniotomy. The orbits are grossly unremarkable.
Multiple brain metastases, including a tumor in the left occipital lobe that measure up to 45 mm, a tumor with layering hemorrhage in the left cingulate gyrus that measures up to 17 mm, a tumor in the left postcentral gyrus that measures up to 10 mm, and a tumor that spans the right occipital and parietal lobes and measures up to 42 mm. While the lesions are associated with vasogenic edema, there is no midline shift.