Saturday, July 27, 2013

MRI Report (6/20/13)

Examination:
MRI BRAIN WO/W CONT


Indication:
WHO grade 2 astrocytoma in the left parietal region, status post gross total 
resection. 


Comparison:
Most recent MRI from April 20, 2013 

Technique:
Non-contrast Head: Axial T1, axial T2, axial diffusion. 
Post-contrast Head: 3D FLAIR (Sag, Ax, & Cor), axial diffusion. Axial, coronal
& sagittal T1.


Contrast:
Contrast Agent Prohance 15 ml 07/20/2013 INTRAVENOUS



Findings:
Again identified stable changes related to left-sided craniotomy. The left 
parietal lobe resection cavity is unchanged in appearance since the prior 
exam. The prior described nonenlarged T2/FLAIR hyperintensities surrounding 
the medial and anterior aspect of the inferior part of the resection cavity 
(604/38 and 39) unchanged in appearance since the prior exam. 
Hypointense signal involving the medulla on T2 appear to be artifacts.
Postcontrast imaging demonstrates linear enhancement in the surgical cavity 
underlying the craniotomy this is unchanged from the prior exam. 
No nodular enhancement in the surgical bed. Small DVA in right frontal lobe.

There is no acute infarction. No mass effect no hydrocephalus. 
The major intracranial flow voids show expected appearance. 
Bilateral paranasal sinuses and mastoid air cells are clear. Bilateral orbits 
are normal.

Impression:
Compared to prior MRI from April 20, 2013, Stable appearance of resection 
cavity in the left parietal lobe with nodular T2/FLAIR hyperintensities along 
the anterior and medial aspect of the inferior part of the resection cavity. 
Continued followup is recommended.

No acute intracranial process.

4 comments:

  1. Fabulous Jessica!! What a wonderful day to celebrate life!!!

    Much love, Maleka

    ReplyDelete
  2. Now I'm no neurosurgeon but this is good no??? What do you feel about it? Your doing great Missy keep up the good work and positivity x. On another note its another wet day in Scotland - totally ruining my new hairdo!

    Big hugs as always

    Lynda
    Xxo

    ReplyDelete
  3. Jess,
    That looks great! Obviously your strategy is paying off!

    ReplyDelete
  4. Stable is good, we like stable.
    Keep taking such lovely care of yourself
    Verity x

    ReplyDelete

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