MRI BRAIN WITH AND WITHOUT CONTRAST, Jul 06, 2012 03 :23:00 PM
INDICATION: CDP,CMP,GGT,LDH,PT/PTT,PHOS 020001 IDX VISIT #
COMPARISON: outside MR 3/24/2012, 2/28/12
TECHNIQUE : Multiplanar, multi-sequence MR imaging of the entire brain was performed before and after intravenous administration of gadolinium-based contrast.
Calvarium/skull base: Status post left frontal craniotomy. No focal marrow replacing lesion suggestive of neoplasm.
Orbits: Grossly unremarkable.
Paranasal sinuses: Mucosal thickening in the left maxillary sinus.
Brain: Status post left frontal approach resection of a mass. The air in the resection cavity has resolved. The resection cavity is rim enhancing with some areas of nodularity along the medial and superior aspect of the cavity. T2/FLAIR Signal in the left frontal lobe is decreased from prior . No acute ischemia. No hemorrhage or hydrocephalus. Grossly normal flow-related signal in the major intracranial arteries and dural sinuses.
Additional Comments: None
Post surgical changes from left frontal craniotomy for resection of a mass, reportedly a glioblastoma multiforme. Rim enhancement, more nodular along the medial and superior aspect of the cavity, is noted on today’s exam. Interval decrease in mass effect and edema in the left frontal lobe. This study should serve as a new post-treatment baseline for future comparison.
I received a copy of the MRI, but unlike previous MRI’s there were no key images marked. I believe this image to be close to what was shown to me by the doctor. It shows a hole where the tumor used to be with some scarring from the surgery.