Gentleman - Oklahoma State University–Stillwater



Oklahoma University Medical Center - Radiology Report

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OU MEDICAL CENTER - THE CHILDREN''S HOSPITAL

940 N.E. 13th MAGNETIC RESONANCE IMAGING PHONE: (405) 271-7454

Oklahoma City, OK 73104 CONSULTATION REPORT FAX: (405) 271-1764

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LOC/RM: EA.RTX/ MRN: E002397674

PT. TYPE: REG RCR RAUN,WILLIAM ROBERT

ACCT#: E00635680160 DOB: 06/21/1957 AGE: 53 SEX: M

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ORD PHYSICIAN: Algan MD,Ozer EXAM STARTED: 10/09/10 1047

ATT PHYSICIAN: Algan MD,Ozer EXAM COMPLETED: 10/09/10 1047

ADMISSION CLINICAL DATA: EPENDYMOMA

EXAMS: CPT:

002951518 MR L SPINE W WO 72158

MR lumbar spine with and without contrast: October 9, 2010.

Clinical History: Ependymoma.

Comparison Study: April 27, 2010.

Technique utilizing 1.5 Tesla magnet and 20 cc of Magnevist contrast,

following pulse images were obtained: Sagittal T1 pre- and

postcontrast, T2, and stir; axial T1 pre- and postcontrast, T2.

Findings: There is maintenance of the lumbar lordosis. No

intraretrolisthesis. Posttreatment changes of the marrow demonstrated.

No abnormal focal marrow enhancement.

Disc desiccation demonstrated at the lower thoracic and at the L4-L5

level.

Small annular fissure demonstrated at L4-L5 and L5-S1.

Conus terminates at L1 and demonstrates unremarkable signal and no

abnormal enhancement.

No abnormal enhancement demonstrated within the spinal canal on either

the axial or sagittal images.

Surrounding structures are grossly unremarkable.

L5-S1 mild circumferential disc bulge with no significant central

canal or neuroforaminal narrowing.

L2-L3 a minimal circumferential disc bulge with ligamentum flavum

hypertrophy but no evidence of significant neuroforaminal or central

canal narrowing.

L3-L4 demonstrates mild circumferential disc bulge with an eccentric

right foraminal component there is mild central canal and mild right

neuroforaminal narrowing. Left neuroforamina is unremarkable. Mildly

increased fluid within the facet joints.

L4-L5 demonstrates circumferential disc bulge eccentric to the right

foraminal region no significant central canal narrowing but mild to

moderate right neuroforaminal narrowing mild left neuroforaminal

narrowing.

L5-S1 circumferential disc bulge no significant central canal

narrowing. Mild to moderate bilateral neuroforaminal narrowing.

Impression:

1. Degenerative changes lumbar spine.

2. No evidence of enhancement to suggest drop metastases.

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I have viewed the images and/or data and approve the report.

** Electronically Signed by M.D. 146 ANTHONY ALLEMAN **

** on 10/09/2010 at 1802 **

Reported and signed by: ANTHONY ALLEMAN, M.D. 146

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DICTATED: 10/09/2010 @ 1801 TRANSCRIBED: 10/09/10 @ 1802

TYPIST: RAD.VR PRINTED: 10/09/2010 @ 1811

ELECTRONIC SIGNATURE DATE/TIME: 10/09/2010 @ 1802 BATCH#: N/A

PAGE 2 Signed Report

Authored by :

Approval Date :

Oklahoma University Medical Center - Radiology Report

-------------------------------------------------------------------------------

OU MEDICAL CENTER - THE CHILDREN''S HOSPITAL

940 N.E. 13th MAGNETIC RESONANCE IMAGING PHONE: (405) 271-7454

Oklahoma City, OK 73104 CONSULTATION REPORT FAX: (405) 271-1764

-------------------------------------------------------------------------------

LOC/RM: EA.RTX/ MRN: E002397674

PT. TYPE: REG RCR RAUN,WILLIAM ROBERT

ACCT#: E00635680160 DOB: 06/21/1957 AGE: 53 SEX: M

-------------------------------------------------------------------------------

ORD PHYSICIAN: Algan MD,Ozer EXAM STARTED: 10/09/10 1047

ATT PHYSICIAN: Algan MD,Ozer EXAM COMPLETED: 10/09/10 1047

ADMISSION CLINICAL DATA: EPENDYMOMA

EXAMS: CPT:

002951516 MR BRAIN W WO INF 70553

MR brain with and without infusion: October 9, 2010.

Clinical History: Ependymoma.

Comparison Study: April 27, 2010.

Technique: Utilizing 1.5 Tesla magnet and 20 cc of Magnevist contrast,

following pulse was were obtained, axial T1 pre- and postcontrast, T2,

; sagittal T1 pre- and postcontrast, coronal T2 and postcontrast T1.

Findings: Again demonstrated are changes of a suboccipital craniotomy

and prior surgery. Enhancing lesion in the floor of the fourth

ventricle in the region of the pontomedullary junction is again

demonstrated and is not significantly changed in appearance or size

measuring approximately 3 mm x 1 cm. T2 images do not demonstrate any

increase in the previously described surrounding T2 signal change.

Midline is nondisplaced. Ventricular system is mildly prominent

suggesting some degree of global volume loss. Scattered T2 signal

abnormalities are present in the high frontal white matter, not

significantly changed. Basal cisterns are preserved. Vascular flow

voids appear maintained. No new areas of abnormal enhancement

demonstrated.

Proximal cord covered under cervical spine discussion surrounding

structures demonstrate minimal mucosal thickening in the paranasal

sinuses and mild fluid in the mastoids. Osseous structures demonstrate

posttreatment changes. No evidence of herniation present. Nasal septum

is deviated.

No diffusion weighted imaging provided.

Impression:

1. Stable examination demonstrating a focus of enhancement along the

floor of the fourth ventricle. No new lesions or enhancement

demonstrated.

***************************************************************

I have viewed the images and/or data and approve the report.

** Electronically Signed by M.D. 146 ANTHONY ALLEMAN **

** on 10/09/2010 at 1747 **

Reported and signed by: ANTHONY ALLEMAN, M.D. 146

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DICTATED: 10/09/2010 @ 1743 TRANSCRIBED: 10/09/10 @ 1747

TYPIST: RAD.VR PRINTED: 10/09/2010 @ 1756

ELECTRONIC SIGNATURE DATE/TIME: 10/09/2010 @ 1747 BATCH#: N/A

PAGE 2 Signed Report

Authored by :

Approval Date :

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