Skip to main content

MRI 3/22/2022

MR BRAIN WITH AND WITHOUT CONTRAST: 3/22/2022 1:26 PM

 
INDICATION (as provided by referring clinician): Melanoma, metastatic to other region
No iodinated contrast contraindication
Intracranial malignant neoplasm care
56 yo M with metastatic melanoma involving the brain. Assess for recurrence in 3 months.
 
ADDITIONAL HISTORY: Metastatic melanoma involving the brainwho has no evidence of disease 6 months after completing immunotherapy.
 
COMPARISON: MRI brain 12/20/2021.
 
TECHNIQUE: Multiple sequences through the brain were acquired at 3.0 tesla.
 
MEDICATIONS:
Dotarem - 15 mL - Intravenous
 
FINDINGS:
 
Postoperative changes from prior right temporal and left occipital craniotomies with underlying resection cavities. Similar appearance of nodular enhancement along the medial and posterior aspect of the left occipital resection cavity along the right temporal resection cavity. Similar FLAIR signal around the resection cavities.
 
Unchanged FLAIR hyperintensity with encephalomalacia and gliosis involving the bilateral inferior frontal lobes and bilateral anterior temporal tips, likely sequela of prior injury.
 
No suspicious elevated cerebral blood flow.
No acute intracranial hemorrhage.
No hydrocephalus.
No intracranial herniation.
 
 
IMPRESSION:
 
Compared to 12/20/2021, no evidence of new or progressive intracranial metastases.

Comments

Post a Comment

Popular posts from this blog

2nd talk with Surgeon

Found out more about the VATS procedure today. They'll remove a nodule, and then keep me on the table while it's biopsied. If it is positive, they'll get more material, then wrap up. If the biopsy comes back negative, they'll do another nodule... and biopsy again and wait... not sure how many times they'll repeat. I guess I'm hoping for a long procedure. The surgeon said he'll ask the lab to freeze some of the material so that I could have it retrieved at a later time... mentioned I was getting a second opinion from UCSF cancer center, and that UCSF may therefore be interested in getting some of the sample as well.
2 comments
Read more

Cyberknife 11/9-10

Underwent 2 cyberknife sessions, the first to treat the tumor bed of the first brain tumor, the second to treat the second one that showed up recently. The procedure is pretty straightforward, it's outpatient. The picture shows the mask they made for me which holds my head in place so the laser is accurate. Each session was an hour or so. I should know by the end of the weekend if there are any short-term complications (none I hope). Then it's a matter of letting the radiation do its job over the next couple of months. Then re-scanning to see both how the two treated areas are doing, and also to see if anything new shows up in the brain.
1 comment
Read more

Cycle 4/Course 2 Finished

(8/6-8/9/2010) Finished cycle 4/course 2. Stopped this time due to some combination of high white T cell count, neurotoxicity and maybe something else. Tolerated 4 bags out of a total of 14, felt as bad as the other times where I tolerated more doses. Will get more scans in about 5 weeks time, and see what they look like compared to the last sets.
Post a Comment
Read more