Following an incidental findings, I've recently done a detailed MRI study. Having a family with young children, I'm obviously very stressed. Will appreciate any advice on what is it and how to proceed.
Multiplanar T1-weighted and T2-weighted scans were obtained.
Intravenous contrast: 10ml of Magnevist.
CEMRI BRAIN, DYNAMIC MR PERFUSION AND MR SPECTROSCOPY
There are no comparison studies.
There is a 14 x 6 x 6 mm non enhancing signal abnormality lying just inferior to the basal ganglia, and specifically inferolateral to the putamen with possible contiguity with the claustrum antero-inferiorfly.
It demonstrates mild T2 hyperintensity and T1 hypointensity, almost identical to that of a normal gray matter. It does no show restricted diffusion nor significant susceptibility artefacts. There is no significant vasogenic edema or other focal lesions elsewhere in the brain save perivascular spaces over the left basal ganglia and right cerebral peduncle and anterior frontal subcortex. There is no hydrocephalus, extra-axial fluid collection or shift of the midline structures.
There is no associated high rCBV in the lesion on the rCBV map.
On a single voxel MRS at TE 135ms, the lesion demonstrated a mildly elevated choline/N-acety-asparate ratio of 1.3. There is a slightly prominent myoinositol peak at TE 30ms, but not to the level that is often found in low grade astrocytomas.
Small, non-enhancing signal abnormality just inferolateral to the right putamen with nonspecific but non aggressive features in MRS and perfusion MR. Differential diagnosis include a focal gray matter heterotopia or low grade primary brain tumor. Please correlate with clinical findings.
May need further action.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.