17 years Female (DOB:10/8/1998)Reason: low grade glioma, yearly follow up , eval for changes History: yearly follow upPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM There is T2 and FLAIR signal hyperintensity present within the right parahippocampal gyrus and extending collateral sulcus and the adjacent fusiform gyrus. There is associated susceptibility effect within this lesion. This was also present on 1/6/2016 exam. It has a similar appearance. Compared to the 6/7/2012 exam it also appears relatively stable. The foci of susceptibility effect were not present at that time and likely related to a biopsyNormal vascular flow voids are present in the distal carotid and vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries as well as the internal cerebral veins and superior sagittal sinus.The visualized portions of the paranasal sinuses demonstrate mucosal thickening on the right maxillary sinus more than the left maxillary sinus.. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact.
1.The patient's right parahippocampal centered mass also involving adjacent fusiform gyrus remains stable over time. It is known to represent Low-grade astrocytic proliferation based on a biopsy from September 2012.2.New mucosal thickening in the maxillary sinuses is likely inflammatory in nature. Please correlate with clinical history.