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FINDINGS: Postcontrast posterior fossa images demonstrate approximately 11mm x 7mm area of blush-like enhancement involving the anterior pons within the midline. Within this region there are more sharply delineated curvilinear enchancing structures which are probably vascular in nature. Precontrast images demonstrate only very subtle slightly increased attenuation corresponding to the LEFT paracentral aspect of the area of abnormality. There is no obvious edema or mass effect. No additional focal abnormality of the brainstem or cerrebellum is appreciated.
The ventricular system appears unremarkable no additional parenchymal abnormal attenuation, evidence of recent intracranial hemorrhage, mass effect, significant extra-axial fluid collection or additonal area of abnormal contrast enhancement is otherwise appreciated. There is preservation of gray-white matter differentiation. The visualized portions of the paranasal sinuses and mastoid air cells appear aerated.
IMPRESSION: Nonspecific blush-like area of abnormal contrast enhancement involving the anterior pons within the midline. This region appears to contain small enhancing vessels as well. There is no associated mass effect or edema and no convincing evidence of hemmorhage. This is likely on the basis of a small vascular malformation. Enhancement within a subacute infarct and neoplasm are additional considerations that are thought to be less likely. Recommend MRI evaluation with and without contrast. This should include gradient imaging.
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-Doug
Update -
My wife is schedule for contrasted MRI Tuesday afternoon. We are trying to get in to her primary care physician for an interpretation of the results of the CT scan, but would appreciate any information or guidance for when we meet with him.
My wife is schedule for contrasted MRI Tuesday afternoon. We are trying to get in to her primary care physician for an interpretation of the results of the CT scan, but would appreciate any information or guidance for when we meet with him.