Malignant neoplasm of brain, unspecified site [191.9], Reason for Study: ^Reason: history of cervical astrocytoma s/p resection History: off therapy evaluation Redemonstration of ill-defined diffuse high signal intensity lesion on FLAIR and T2-weighted imaging on the mandibular and cervicomedullary junction intra-axial lesion, maximum diameter on sagittal scan was measured around 29.4 mm x 14 mm. The lesion does not show any gadolinium enhancement, nor does not show any evidence of hemorrhagic foci within the lesion. Approximate size of the mass and MR characteristics do not show any significant interval change since prior scan.The ventricles, sulci and cisterns are symmetric and unremarkable.There is no evidence of acute ischemic or hemorrhagic lesion on the scan.Normal flow voids are identified in the major intracranial vessels. The mastoid air cells are clear.Previously seen right maxillary sinus opacification has been cleared.C-spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. No abnormal enhancing lesions are identified in the cervical spine.There is no evidence of degenerative changes of cervical spine.
1. Stable and no change in terms of size and MR characteristics of medullar and cervicomedullary junctional mass lesion since prior scan.2. Unremarkable C spine MRI.