Clck    here    for some of the MRI images and    here    for many more images.

Click     here    for complete copies of CDs with the results of Katya's first MRI (August 11, 2005) and her MR Spectroscopy (August 12, 2005)

To view the resuls you need first to copy all files to your PC and run the accompanying viewing program.



FIRST MRI REPORT


OREGON IMAGING CENTER, 1200 Hilyard St., EUGENE Oregon 97401, 541-687-7608

PATIENT NAME: POLISHCHUK, Katherine, DOB 15 Dec 2000, AGE: 004, SEX: F
EXAM DATE: 11 Aug 2005
ORDER PROVIDER: BRADSHAW, PILAR

MRI OF THE BRAIN WITH AND WITHOUT CONTRAST

IMPRESSION:
1. 4.8 x 3.8 x 3.1 cm expansile infiltrating mass within the pons is most consistent with a brainstem glioma.
2. These findings were discussed with Pilar Bradshaw, MD at the time of the study.

INDICATIONS: Left eye lateral gaze.

TECHNIQUE: Sagittal T1, axial T2, coronal T2, axial FLAIR, axial diffusion, coronal T1 post contrast, axial T1 post contrast and sagittal T1 post contrast MR images of the brain were obtained.
The patient was given 50 mg of Nembutal orally for sedation. Continuous monitoring during the procedure by the nursing staff was performed. No adverse effects were noted.
3.5 cc of Magnevist was also given for the post contrast portion of the study.

COMPARISON: None.

FINDINGS: There is a 4.8 x 3.9 x 3.1 cm expansile mass identified within the pons. This mass is predominantly hyperintense on the T2 weighted images without evidence of hemorrhage or significant enhancement. There is effacement of the basilar artery within the prepontine cistern; however, normal flow void is identified. The mass is most consistent with a large brainstem glioma.
The cerebral aqueduct is patent without evidence of obstruction or hydrocephalus. No cerebellar tonsillar or herniation is seen.
The supratentorial structures demonstrate normal gray-white differentiation. No extra axial fluid collections are identified.
The remaining anterior and posterior circulation flow voids are normal in appearance. There is prominent lymphoid tissue in the nasopharynx appropriate for the patient's age. Paranasal sinuses are well aerated.
No osseous destructive lesion is identified.

DP: GUPTA, AKSHAY, MD


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