LOW GRADE GLIOMA
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Findings
RIGHT FRONTAL PARASAGITTAL CORTEX SHOWS A T1 HYPOINTENSE ,T2 AND T2 FLAIR HYPERINTENSE LESION OF MAXIMUM SIZE OF 2.6 X 1.6 X2.8 CMS. NO EVIDENCE OF PERILESIONAL EDEMA / HAEMORRHAGE /CALCIFICATION IN THE LESION. THE LESION IS MILDLY HYPERINTENSE ON DW AND ADC.
THERE IS NO EVIDENCE OF CONTRAST ENHANCEMENT .
MRS :
ELEVATED MYOINOSITOL PEAK SEEN AT 3.5 PPM , IN THE SINGLE VOXEL GRAPH AT 35 TE. NO E/O LIPID -LACTATE PEAK.
MULTIVOXEL GRAPH AT 144 TE SHOWS INCREASED CHOLINE AND MILD SUPPRESSION OF NAA .
CH/NAA =1.14 CH/CR = 1.11 .
THERE IS NO EVIDENCE OF CONTRAST ENHANCEMENT .
MRS :
ELEVATED MYOINOSITOL PEAK SEEN AT 3.5 PPM , IN THE SINGLE VOXEL GRAPH AT 35 TE. NO E/O LIPID -LACTATE PEAK.
MULTIVOXEL GRAPH AT 144 TE SHOWS INCREASED CHOLINE AND MILD SUPPRESSION OF NAA .
CH/NAA =1.14 CH/CR = 1.11 .
Diagnosis
LOW GRADE GLIOMA .
Dr. Uma Pandurangi MD is a Professor from with experience of 20-25 years post-graduated from JIPMER Pondicherry.. Specialized in Reporting of X-RAYS , CT-SCAN , MRI , MAMMOGRAM cases with expertise in Neuro-imaging , Spine-imaging , Pediatrics-imaging , Trauma , Stroke-imaging
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