Narrative
EXAMINATION:
MRI BRAIN WO/W CONT
CLINICAL INDICATION:
History of left parietal infiltrating astrocytoma status post resection.
TECHNIQUE:
MRI Head Tumor (Primary) contrast plus post GD SAG T1 (Glioma /GBM)(B 2PT)
Non-contrast Head: Axial T1, axial T2, axial diffusion.
Post-contrast Head: 3D FLAIR (Sag, Ax, & Cor), axial diffusion. Axial, coronal
& sagittal T1.
CONTRAST:
Prohance 15 ml 10/24/2015 08:10 AM INTRAVENOUS
COMPARISON:
Multiple prior MRIs of the brain, most recent dated 3/22/2015.
FINDINGS:
Post surgical changes compatible with left parietal craniotomy and tumor
resection again noted. Surrounding FLAIR hyperintensity is unchanged. There is
no evidence of new areas of enhancement at the resection site or elsewhere in
the brain parenchyma. A right frontal developmental venous anomaly is noted.
Incidental note of small intracranial right vertebral artery flow void again
noted and unchanged from 3/22/2015. Otherwise, the major vascular flow voids
through the circle of Willis are patent.
The ventricles and sulci are unchanged in size. There is stable ex vacuo
dilatation of the left lateral ventricle due to volume loss.
Orbital structures and extracranial soft tissues are normal.
ATTENDING RADIOLOGIST AND PAGER NUMBER
MRI BRAIN WO/W CONT
CLINICAL INDICATION:
History of left parietal infiltrating astrocytoma status post resection.
TECHNIQUE:
MRI Head Tumor (Primary) contrast plus post GD SAG T1 (Glioma /GBM)(B 2PT)
Non-contrast Head: Axial T1, axial T2, axial diffusion.
Post-contrast Head: 3D FLAIR (Sag, Ax, & Cor), axial diffusion. Axial, coronal
& sagittal T1.
CONTRAST:
Prohance 15 ml 10/24/2015 08:10 AM INTRAVENOUS
COMPARISON:
Multiple prior MRIs of the brain, most recent dated 3/22/2015.
FINDINGS:
Post surgical changes compatible with left parietal craniotomy and tumor
resection again noted. Surrounding FLAIR hyperintensity is unchanged. There is
no evidence of new areas of enhancement at the resection site or elsewhere in
the brain parenchyma. A right frontal developmental venous anomaly is noted.
Incidental note of small intracranial right vertebral artery flow void again
noted and unchanged from 3/22/2015. Otherwise, the major vascular flow voids
through the circle of Willis are patent.
The ventricles and sulci are unchanged in size. There is stable ex vacuo
dilatation of the left lateral ventricle due to volume loss.
Orbital structures and extracranial soft tissues are normal.
ATTENDING RADIOLOGIST AND PAGER NUMBER
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It must be so very difficult to receive conflicting reports. Praying this is the correct reading and report.. Bless you dear Jessica, Dan & your family.
ReplyDeleteThank you! It has been more stressful than I even imagined. Thank you for understanding.
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