Infiltrating glioma, WHO grade II. Off treatment. The study is significantly limited by patient motion. There are changes of previous tumor resection from the left parietal lobe. The surgical cavity is unchanged, as is the associated encephalomalacia and volume loss. Also, the extensive confluent white-matter T2-hyperintensity which involves both cerebral hemispheres, though more pronounced on the left, is unchanged. There is no significant contrast-enhancement in the treatment bed or the remainder of the brain.MR perfusion was performed but is of limited value given the degree of motion. Mild dural thickening/contrast enhancement underlying the craniotomy flap is unchanged. There is no acute infarct or gross, new intracranial hemorrhage. There is no midline shift or brain herniation. The major intracranial flow voids are preserved.
1.The study is significantly limited by patient motion.2.There is no significant change in the confluent areas of cerebral T2-hyperintensity and no abnormal or new contrast enhancement to suggest disease progression.