MRI (good) results

I like to leave the doctoring to the doctors. If the doc says, You're fine, then I feel fine. If the doc says, You're crook, then I ask, So what's the treatment? In general I prefer to not know too many details, it can be a worry.

Mind you, I also enjoy -- sometimes -- reading the more detailed analysis. Such as the interpretation of my latest MRI. With my thoughts as (*) footnotes. And a brain scan for your viewing pleasure...

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MRI BRAIN
CLINICAL HISTORY
67 year old with history of right parietal GBM.
FINDINGS
Comparison is made with previous MRI of brain from 25/2/20.

Previous right parietal craniotomy is noted. There is a small haemosiderin lined surgical cavity involving the right parieto-occipital region unchanged from the previous MRI. There is surrounding abnormal T2 and FLAIR signal within the cerebral white matter. The degree of T2 signal change has reduced slightly when compared to the previous MRI. A lobulated enhancing focus is again noted within the right peri-trigonal region. This has contracted slightly(a) when compared to the previous MRI and does not appear to produce any mass effect on today's study. The overall dimensions have not significantly [changed] with maximal dimension of 17mm(b).

No other focus of abnormal parenchymal enhancement is identified. There is no evidence of abnormal leptomeningeal enhancement. A tiny focus of haemosiderin staining is seen within the left parietal white matter which is stable. No evidence of acute intracranial haemorrhage. The deep grey nuclei, brainstem and cerebellum are normal(c). There is no evidence of hydrocephalus or an extra-axial collection.

COMMENT

1. Previous right parietal craniotomy is noted with stable appearance(d) of haemosiderin line resection cavity within the right parieto-occipital region.

2. The lobulated enhancing right peri-trigonal lesion appears to have contracted slightly when compared to the previous MRI from 25/2/20. There is also decrease in the degree of abnormal T2 signal within the right cerebral white matter. The overall appearances are suggestive of post-treatment change(e) however continued short term follow-up with repeat MRI in 3 months is recommended(f).

3. No other abnormal parenchymal or leptomeningeal enhancement is identified.
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My footnotes:

(a) I think this means that the scary shadow of the earlier MRI has shrunk... More evidence that it is just dead brain rather than live tumour. Good news :-) 

(b) Seems to me like a lot of dead brain. Luckily I have some spare. Which I keep in a jar on my desk...

(c) Okay, that seems clear enough. "Normal" must be good.

(d) Okay, that must be the operation scar. Stable seems good. And I think "resection" is "the cut".

(e) Brain is still recovering.

(f) Stay on the three-month scan schedule. Things may change.

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I enjoyed reading the specialist's analysis. Though I gained just as much useful information from the doc's, No change, scan again in three months.

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And here's an interesting photo:

See the bit in the middle? I circled it in red, for convenience. That -- I believe -- is the little key: wind it up to keep the brain ticking over.

Or it may just be the lobulated enhancing focus.