51 year old female patient with lung cancer with history of brain metastases status post SRS 7/2015. Evaluate disease. There is interval decrease in size of the ring-enhancing lesion within the left superior frontal gyrus, now measuring 6 mm in diameter, previously 14 mm, with a significant decrease in surrounding vasogenic edema. Several punctate enhancing lesions in the bilateral cerebral hemisphere are otherwise not significantly changes. Some of the lesions demonstrate mild surrounding vasogenic edema. There is no evidence of acute ischemia. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. There is scattered minimal paranasal sinus mucosal thickening. The orbits, skull, and scalp soft tissues are grossly unremarkable.
Interval decrease in size of a left superior frontal gyrus lesion with significant decrease in surrounding vasogenic edema, but no significant change in size of several other punctate metastases otherwise.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.