Compared to the immediate postoperative MRI dated 1/2/2009, there is an
increase in mass-like heterogeneous enhancement along the medial,
posterior, superior, and inferior aspect of the right posterior parietal
resection cavity. There is high T1 and high T2 signal within the
resection cavity which is new from prior and likely represents interval
mineralization given the time course. The overall size of the resection
cavity and surrounding signal abnormality is increased in the interval
and measures 4.2 x 3.7 cm, previously 3.3 x 2.4 cm.
Interval increase in size and enhancement of the right periatrial lesion.
This lesion measures 1.9 x 1.3 cm in axial dimension, previously
approximately 0.6 x 0.5 mm.
No midline shift or mass effect. No abnormal extra-axial fluid
collections. Basal cisterns are patent. Ventricles are normal in size
configuration. Flow-voids seen in the major intracranial vessels. No
restricted diffusion. No evidence of acute infarction and acute
intracranial hemorrhage.
Paranasal sinuses and mastoid air cells are normal. Orbits are normal.
Surgical changes status post left parietal craniotomy.
Impression:
Interval enlargement of the right posterior parietal and right periatrial
lesions with increased enhancement, consistent with interval progression
of disease.
I have reviewed the images and concur with the above findings.
Report Release Date/Time: 20090525125945233
Resident MD: Eads, Emily
Result ID: 4001643
Approving MD: KILANI, RAMSEY KHAIR MD
ATTENDING MD: KIRKPATRICK,JOHN PAXTON
ORDERING MD: KIRKPATRICK,JOHN PAXTON
ORDER REASON: SECONDARY BRAIN/SPINE CA-SEC MAL NEO BRAIN/SPINE
