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First-testosterone mc, many thanks for providing this excellent forum every day of the year, and for being such an incredible source of information 24 hours a day for so many people. My greatest wishes for the Holidays and New Years to all!
If possible, I am wondering if anyone might be able to help with some of the "big words" in a recent MRI report. The MRI was conducted as a follow-up to a MRI four months ago which detected a 3mm lesion in the right frontal
temporalForehead lift
Temporal arteritis
Temporal lobe seizure lobe, with a likely DX of a
cavernousHemangioma angiomaBirthmarks - red
Hemangioma
Hemangioma - angiogram
Hemangioma - ct scan
Hemangioma excision
Hemangioma on the chin
Hemangioma on the face (nose)
Hepatic hemangioma.
Those "big words" are found in two sentences detailing diffculty in reproducing the exact dimensions captured on the previous MRI. The sentence is: "I have not been able to reproduce the apparent enhancing lesion noted on the previous MR examination. I would if this apparent abnormality could be due to
partialPartial (focal) seizure
Partial thromboplastin time (ptt)
Thyroid gland removal volume averaging of vessels lying along the superior aspect of the hippocampus". One more - "lacunar infaraction".
I will be
discussingDiscussing death with children the MRI results in depth with my Neurologist in the New Years, but I spinning in circles trying to translate a MRI report he regards as good news!
Any assistance or guidance you may be able to provide would be greatly welcomed!
Again, many thanks and best wishes for the Holidays!
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Thanks for your question.
"I have not been able to reproduce the apparent enhancing lesion noted on
the previous MR examination. I would if this apparent abnormality could be
due to partial volume averaging of vessels lying along the superior aspect
of the hippocampus".
Ans: A contrast substance (gadolinium) was used on both MRI scan; an
"enhancing lesion" is one that is "brighter" when gadolinium is injected.
It most often represents a form of local tissue damage where there is
break-down of the normal blood-brain barrier, thus the contrast "leaks" out
to the brain tissue. The second sentence attempts to explain the presence
of a possible "abnormality" during the first MRI scan, which might have
resulted from surrounding blood vessels (containing the contrast), and NOT
the presence of an ACTUAL lesion.
"lacunar infarction". A brain infarct is an area of brain tissue that died
because of the lack of blood supply. The most common causes for the blood
vessel obstruction is a clot formed locally (thrombus from atherosclerotic
damage), or a clot formed elsewhere (embolus from the heart). A lacunar
infarct is an infarct that result from the obstruction of small brain vessels,
and usually smaller that 1 cm in diameter.
I hope this information is helpful. Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.