2013-04-11 MRI Report

MRI BRAIN WITH AND WITHOUT CONTRAST, Apr 11, 2013 12:03:00 PM

INDICATION: disease staging 191.1 Bifrontal or frontal glioblastoma multiforme

TECHNIQUE: Multiplanar, multi-sequence MR imaging of the entire brain was performed before and after intravenous administration of gadolinium-based contrast.

FINDINGS:

-Calvarium/skull base: Previous left frontal craniotomy for resection of the cord at Glioblastoma Multiforme

-Orbits: Grossly unremarkable.


-Paranasal sinuses: Retention cyst formation in the left maxillary antrum.


-Brain: Postresection changes are seen in the left superior frontal gyrus. After administration of gadolinium there is a small amount of stellate enhancement within the resection cavity likely representing postsurgical change unchanged from before. There is a stable degree of surrounding FLAIR white matter hyperintensity consistent with post treatment changes. A similar stable degree of the minor white matter hyperintensity is seen in the right frontal white matter unchanged from the previous examination.. . No mass effect, hemorrhage, or hydrocephalus. No abnormal enhancement to suggest neoplasm, abscess, or mass lesion. Grossly normal flow-related signal in the major intracranial arteries and dural sinuses.


-Additional Comments: None

CONCLUSION:

Stable appearance of postresection of the left superior frontal gyrus. No evidence of tumor recurrence. No change in pattern of residual postsurgical enhancement.

This report was generated using voice-recognition technology and similar sounding words may thus be mis-transcribed.

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