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  • Astrocytoma Tumor

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    Old 04-26-2009, 10:21 AM   #1
    ART1974
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    Question Astrocytoma Tumor

    Hello i was wondering if anyone here could help me with some information? I was diagnosed with a inoperable grade 2 astrocytoma 5 years ago. They did a biopsy of the tumor & i had 7 weeks of radiation. The tumor shrunk dramatically & so far it hasn't grown anymore since the radiation. But in my last MRI they found two small spots on the opposite side of my brain. Here is the results of the MRI with contrast. Can anyone here tell me what this means? Any help would be appreciated!

    Indication: 34-year-old female with a history of astrocytoma. Severe
    headache and right-sided facial numbness.
    .
    Findings: Operative changes from left parietal burr hole placement are
    again demonstrated. A 1.3 cm area of encephalomalacia within the left
    precentral gyrus with surrounding 2.5 x 1.3 cm area of mildly bulky
    abnormal T2 signal appears stable from prior examinations dating back to
    8/11/2006. No evidence for abnormal enhancement within this region. There
    are several additional focal areas of increased T2 signal scattered
    within the cerebral white matter. These have a more benign appearance and
    without definite mass-effect. A right right parieto-occipital region
    appears unchanged from 8/11/2006. However, areas seen within the
    bilateral frontal lobes, more prominent left, are progressed from both
    10/16/2007 and 8/11/2006. No abnormal enhancement is noted within these
    regions.
    .
    No hemorrhage, hematoma, hydrocephalus, mass-effect, midline shift or
    acute infarction is identified. A developmental venous anomaly of the
    left cerebellum is unchanged. The major intracranial vessels demonstrate
    flow. The basilar cisterns are patent. The craniovertebral junction
    structures are unremarkable. The paranasal sinuses and mastoid air cells
    are clear.
    .
    .
    IMPRESSION:
    .
    1. Stable area of encephalomalacia and subtle space-occupying T2 signal
    abnormality within the left frontoparietal region consistent with the
    given history of astrocytoma and treatment related change. Findings have
    been stable since 8/11/2006.
    .
    2. Additional areas of patchy T2 signal abnormality within the cerebral
    white matter. A right parietal area appears stable from 8/11/2006.
    However, there has been slow progression in bilateral frontal lobe areas
    of T2 abnormality, more prominent on the left. These have a more benign
    non-space-occupying appearance suggestive of treatment related white
    matter findings, though areas of tumor are not excluded. Attention on
    followup is suggested. No abnormal enhancement.
    .
    .

     
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