Possible intracranial hemorrhage. Headache. Patient has a brain tumor .50-year-old female The patient is status post recent left-sided temporal craniotomy. Postsurgical changes include intracranial air and a left-sided subdural collection.A small 8mm hemorrhagic focus is present along the left temporal lobe at the superior margin of the patient's tumor bed. A hypodense focus is present in the left temporal lobe measuring 25 x 20 mm axial dimensions presumably related to the patient's known left sided brain tumor.A focus of encephalomalacia is present in the left parietal lobe extending to the left the occipital lobe and the left posterior temporal lobe. This has been present on previous exams and has not changed substantially in essence it represents a fluid filled the cavity and is best to assess bone MRI..It corresponds to a previous tumor bed identified on the 6/19/06 MRI exam
1.The patient is status post a left temporal lobe surgery . Residual tumor cannot be assessed on this exam. MRI is more accurate in assessing residual tumor than CT. there is a small focus of hemorrhage in the tumor bed as described above.2.Encephalomalacia and gliosis adjacent to previous surgical site in the left posterior temporal lobe and adjacent to left parietal and occipital lobes as described above.3.Postsurgical changes at the craniotomy site.