| 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
basal 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.
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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