| SOUTHWEST DIAGNOSTIC IMAGING CENTER REPORT |
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PATIENT: FURLONG, NEILA
C
DATE OF BIRTH: 01-Jun-41
DATE OF
EXAM: 26-Sep-01
| X-RAY
#: 0142196 |
EXAM #: 249
A-092601 |
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Presbyterian Professional
Building 3
8230 Walnut Hill Lane - Suite 100
Dallas, Texas
75231-9930
214/3456905 - Fax 214-345-4020 |
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CLINICAL HISTORY:
Carcinoma of the lung, disease, vertigo, difficulty walking and
speaking. History of previous brain metastasis.
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TECHNIQUE:
1. Sagittal 5-mm
paramidline noncontrast T1-weighted images.
2. Axial T2 and FLAIR images C1 to
vertex.
3. Axial and coronal postcontrast T1-weighted
images through the brain.
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COMPARISON:
Comparason is made to multiple previous
examinations.
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FINDINGS:
There are extensive high FLAIR and T2 signal white matter
findings in both cerebral hemispheres. These are somewhat more
prominent on the left than right. A similar pattern is noted on
multiple previous studies and the findings are consistent with postradiation
white matter change. There is encephalomalacia of the left frontal
lobe, at the site of a previous metastasis. There is a moderate
degree of atrophy. There is no focal mass lesion. There
are chronic lacunar infarcts within the left basa ganglia.
There
is a small focus of diminished T2 signal in the left frontal lobe white
matter. Previous studies have demonstrated a small focus of
susceptibility artifact on diffusion-weighted imaging at this
location. This likely reflects a small focus of hemosiderin
deposition. The previous studies have demonstrated metastasis at
this location, which has completely resolved. This most likely
reflects a small focus of hemosiderin deposition at this site of a resolved
metastasis.
There is no pathologic
enhancement. There is no evidence to suggest new metastatic
lesions. There is no mass effect or midline shift. No
extra-axial fluid collections is noted.
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IMPRESSION:
1. Extensive postradiation white matter
changes in both cerebral hemispheres.
2. Chronic lacunar infarcts in the basal
ganglia, left greater than right..
3. Encephalomalacia of the left
frontal lobe at the site of a now resolved metastasis..
4. No evidence of new metastatic
lesion..
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D: 26-SEP-01 T:
27-SEP-01 / 07322
| Electronically Signed: DAVID KILGORE,
M.D. |
DK/paf |
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