33 year old female with history of GBM. Evaluate for metastatic disease. The spinal cord is normal without evidence of leptomeningeal or intramedullary signal abnormality. No abnormal enhancement.MRI CERVICAL SPINE WWO, 2/11/2015 10:19 AMCLINICAL INFORMATION:Clinical question: Evaluate for progression of known GBM, new cranial nerve involvement. Signs and symptoms: Fossa bulge.COMPARISON: Brain MRI 1 -- 21 -- 15TECHNIQUE:Pre-and post-enhanced brain MRI is performed.11 cc of Multihance is intravenously and 4cc is wasted.
1.No convincing evidence of an acute or definite acute new finding since prior exam.2.Stable residual enhancing tumor in the right posterior temporal lobe with extension into the splenium of corpus callosum and along the medial aspect of left temporal lobe in signal intensity, extent, size and pattern of enhancement. Please see above comments.