Evidence of previous right frontoparietal and right occipitoparietal craniotomies and underlying resections
Several hemorrhagic lesions are identified:
- Left superior parietal lesion measures 12mm x 9mm
- Left frontal lesion measures 6mm x 5mm
- Left occipital lesion measures 13mm x 12mm.
- Right superior parietal lesion measures 6mm x 7mm.
These are all at grey-white matter junctions. Other smaller ones may also be present.
Mild vasogenic oedema surrounds these lesions with mild localized mass effect on the cerebral sulci. Ventricular size is normal. No midline shift. Encephalomalacia in the right frontal and parietal lobes noted. Mastoid air cells and paranasal sinuses are normal.
Conclusion: Bilateral hemorrhagic intra-axial lesions since 8/12, in the given clinical context, almost certainly represent new hemorrhagic myxoma metastases.