Since the previous study (not shown), there has been unequivocal disease progression. Once again, there is a combination of gliosis and vasogenic oedema. There is a narrowing of the superior sagittal sinus but maintained flow voids are noted, unchanged compared to previously. This is well demonstrated on the axial T2 imaging. Susceptibility artefact is once again noted in the surgical bed. There is no further enhancing lesion noted.