GBM grade IV patent

[suvraj]

I am a GBM grade IV patent. Please tell me what does mean of my last MRI report. I thank you very much for your explanation of my MRI
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Name of Exam-MRI REPORT OF BRAIN, Sagittal-FSET1, Axial-- FSET1.FSET2, FLAIR & DWI, Coronal-- FRFSET1, Findings:operative and post radiotherapy state of right temporal Glioblastoma. Pre and post contrast MR imaging of BRAIN was done using following protocol: Evidence of right sided craniotomy is noted. Irregular CSF signal intensity area is noted in all sequences in right temporal region with mild exvacuo dilatation of right lateral ventricle. Small nodular enhancing area with surrounding gyriform enhancement is noted in posterior aspect of right temporal lobe and there is adjacent dural enhancement. Midline structures are not shifted. Pituitary, parasellar areas, corpus callosum, optic chiasma, thalami, basal ganglia, brain stem and cerebellum appear normal in signal characteristics and morphology. Both CP angles are clear. Normal basal flow voids are seen. Visualized cranial nerves appear normal. Orbits are unremarkable. Mucosal thickening is noted in left maxillary sinus, suggesting sinusitis.
Impression:♦Post operative and post radiotherapy state of right temporal lobe Glioblastoma showing small residual lesion, which is significantly reduced in size compared with previous MR! study dated. ♦ Large encephalomalacic change in right temporal region (post operative).
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[suvraj]

Thanks!

[Dr Santos]

Hi,
MRI shows reduced size in the lesion compared to the size before operation and radiotherapy. There was also a large encephalomalacic chage or  softening of brain tissues, which is most commonly caused by hemorrhaging and inflammation. It is best that you discuss this result with your attending physician for proper evaluation. Take care and do keep us posted.