Trying to get an idea of what this MRI report means as apt with Doctor is a week away, MRI taken during routine followup of a Pleomorphic Xanthoastrocytoma tumor removed 7 years ago named :
:
EXAM:
MR BRAIN WITH + WITHOUT IV CONTRAST
CLINICAL HISTORY:
Right temporal xanthoastrocytoma status post resection.
TECHNIQUE:
An MRI of the brain was performed with and without contrast. Sagittal 3D T1 with axial and coronal reformats, axial diffusion-weighted, axial susceptibility-weighted, axial T2, sagittal 3D T2 FLAIR fat saturated postcontrast with axial and coronal reformats, sagittal 3D T1 postcontrast with axial and coronal reformats sequences were performed. Twelve cc of Gadavist was injected intravenously.
COMPARISON:
MRI of the brain performed June 12, 2019.
FINDINGS:
Status post right temporal craniotomy and resection of an underlying T2 hyperintense lesion. There is a small resection cavity within the right superior temporal gyrus with an unchanged small degree of surrounding T2 hyperintensity. There is persistent minimal linear enhancement within the resection cavity, likely representing postoperative scar. Minimal reactive dural enhancement is noted subjacent to the craniotomy site. There is no new T2 hyperintense signal or enhancement surrounding the resection cavity to suggest recurrent tumor.
The ventricles and sulci are normal in size and configuration. There is no acute hemorrhage, mass, or acute infarction. There is no midline shift or downward herniation. There is nonspecific hypoenhancement within the dorsal pituitary gland. The basilar flow voids are maintained.
There is mild polypoid mucosal thickening within the right maxillary sinus and rightward nasal septal deviation. Trace fluid is present within the right mastoid air cells. No aggressive osseous lesion is noted.
IMPRESSION:
Unchanged right temporal resection cavity without evidence of recurrent tumor.
Nonspecific hypoenhancement within the dorsal pituitary gland. This finding is nonspecific and attention on follow-up is recommended.