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CT Scan - Need help with interpreting results
by mathey, Jan 25, 2009 04:25AM
Hello,
This is my first post to this board. I found it by doing a search while trying to interpret the results of my wife's CT scan. If anyone can help with this, I would greatly appreciate it.
Last scan from 8 months ago came back clean, but was done without contrast. My wife collapsed upstairs while straining during bowel movement and was taken to the hospital where they gave her a pain cocktail. Her regular doctor said the hospital's treatment was to numb the pain, not to cure it. He prescribed medicine and told her it would take several days for the pain to subside. The headaches peristed for about two weeks and she couldn't even have the light on in the house for the first week. If anyone can help, please please.
The text below is the results of the current scan:
******Doctor, Please Attend To This Report Immediately!******
CT POSTERIOR FOSSA WITH AND WITH CONTRAST, CONTRAST CT BRAIN 1/19/2009
CLINICAL INDICATION: Dizzines, numbness, blurred vision, headaches
COMPARISON: 5/20/08
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.
******Doctor, Please Attend To This Report Immediately!******
Thanks for taking the time to read this message!
-Doug
This is my first post to this board. I found it by doing a search while trying to interpret the results of my wife's CT scan. If anyone can help with this, I would greatly appreciate it.
Last scan from 8 months ago came back clean, but was done without contrast. My wife collapsed upstairs while straining during bowel movement and was taken to the hospital where they gave her a pain cocktail. Her regular doctor said the hospital's treatment was to numb the pain, not to cure it. He prescribed medicine and told her it would take several days for the pain to subside. The headaches peristed for about two weeks and she couldn't even have the light on in the house for the first week. If anyone can help, please please.
The text below is the results of the current scan:
******Doctor, Please Attend To This Report Immediately!******
CT POSTERIOR FOSSA WITH AND WITH CONTRAST, CONTRAST CT BRAIN 1/19/2009
CLINICAL INDICATION: Dizzines, numbness, blurred vision, headaches
COMPARISON: 5/20/08
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.
******Doctor, Please Attend To This Report Immediately!******
Thanks for taking the time to read this message!
-Doug
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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.