MRI Findings---For the Record

I kept meaning to put up the exact findings from my MRI results, for those who are interested in the science-y part of all of it, plus just for the documentation of it.

Date: 2/03/17


FINDINGS:

The diffusion-weighted imagine demonstrates no evidence for acute infarction.  The axial gradient school imaging demonstrations no evidence for intracranial hemorrhage.

There are scattered opacified mastoid air cells on the right Paranasal sinuses/mastoid air cells are otherwise unremarkable.

There are numerous enhancing intra-axial lesions throughout bilateral cerebellar hemispheres, as well as scattered throughout the supratentorial brain bilaterally, left greater than right.  Posterior fossa intra-axial lesions include a cluster of three lesions in the vermis, each measuring up to 7-8 mm.  Within the superior aspect of the left cerebellar hemisphere, there is a mass measuring 2.5 cm in transverse dimension and there re numbers confluent masses within the interior and posterior aspect of bilateral cerebellar hemispheres, left great than right, measuring up to 6.0 x 3.1 cm on there left and up to 2.9 x 1.6 cm on the right.  There is associated edema as evidenced by increased T2 and FLAIR signal adjacent to these lesions, especially on the left.  This exerts significant mass effect on the fourth ventricle, which is markedly narrowed.  There is no transependymal flow of CSF or evidence for vertriculomegaly at this time.

In addition to the metastatic disease within the posterior fossil, there are supratentorial enhancing lesions.  This includes a left lateral temporal lobe lesion measuring 1.1 cm, an inferour and lateral left frontal lobe lesion measuring 1.7 can, and a posterolateral left frontal lesion near the vertex measuring up to 1.4 cm.  On the right, there is a lesion within the lateral aspect of the temporal lobe measuring 1.6 cm.

There is a lesion within the left occipital lobe measuring 1.1 cam and there is a lesion without the right occipital lobe measuring 1.7 cm.  There is also a posteromedial right parietooccipital lesion meaning 1.3 cm.

There is mottled abnormal signal intensity throughout the calvarium including the cloves.  There is also mottled abnormal signal intensity within the upper cervical spine, suspicious for osseous metastatic disease.  (*Dr. Fleener not concerned about this part for now.)



IMPRESSION:
Widespread intra-axial metastatic disease, including supratentorial and infratentorial lesions.  Numberer cerebellar lesions are present with associated posterior fossa edema and mass effect on the fourth ventricle.  Signal abnormalities within the osseous striations suggests osseous metastatic disease as well.






THERE YOU HAVE IT!!!!