69 years Male (DOB:8/5/1947)Reason: S/p SRS for brain metastasis, surveillance exam History: S/p SRS for brain metastasis, surveillance examPROVIDER/ATTENDING NAME: STEVEN J. CHMURA TODD STERN There is a 9 x 8 mm enhancing mass in the left cerebellar hemisphere which previously measured 8 x 9 mm. Centrally there are some susceptibility effect associated with this lesion. In July 2015 this same lesion measured 14 mm in size and in March 2016 measured approximately 11 mm in size.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 demonstrate a minor opacity in the right mastoid air cells. The visualized portions of the orbits are intact.
There is a left cerebellar mass present which is similar in size relative to the prior exam.