How are you? As mentioned from the other post, MRI shows reduced size in the lesion compared to the size before operation and radiotherapy. There was also a large encephalomalacic chage or softening of brain tissues, which is most commonly caused by hemorrhaging and inflammation. It is best that you discuss this result with your attending physician for proper evaluation. Take care and do keep us posted.
Dear Dr. Santos,
Thank you very much for your kind reply which may help not only me but also other patents like me. I am keep in touch with you and inform you after getting any test result for getting your advise.
This is my another MRI report (after ending chemo TMZ). Please advise.
Clinical Information: Post operative, post chemo and radiotherapy state of right temporal Glioblastoma.
Pre and post contrast MR imaging of BRAIN was done using following protocol:
Sagittal- FSE T1
Axial- FSE T1, FSE T2, FLAIR & DWI
Coronal- FRFSE T1, FRFSE T2
Evidence of right sided craniotomy is noted, irregular CSF signal intensity area in all sequences with surrounding hyperintensity in FLAIR images is noted in right temporo-pariental region with jmild exvacuo dilatation of right lateral ventricle. After I/V contrast administration no abnormal enhancement is noted.
Midline structures are not shifted. Pituitary, parasellar areas, corpus callosum, optic chiasma, thalami, basal ganglia, brain stem and cerebellum appear normal in signal characteristics and morphology. Both CP angles are clear.
Normal basal flow voids are seen. Visualized cranial nerves appear norma,. Orbits are unremarkable. Mucosal thickening is noted in left maxillary sinus, suggesting sinusitis.
Post operative, post chemo & radiotherapy state of right temporal lobe Glioblastoma showing encephalomalacic change without obvious residual or recurrent lesion at present compared with previous MRI study dated 26.02.11