گزارش پزشک:

BRAIN AND INTERNAL AUDITORY CANAL MRI

(with and without contrast)

Technique: Axial  , sagittal T1  , Axial , coronal T2 , Axial PD , Axial sagittal T1 post contrast, cerebral axial FLAIR .

REPORT :

The interhemispheric fissure is centered on the midline .

No abnormalities are seen in the basal ganglia , int . capsule, corpus callosum ,

Thalamus and tectal plate .

The sella and pituitary – pineal g .are normal and parasellar, suprasellar  structures are unremarkable.

The orbital contents , falx , dura and calvaria are unremarkable .

 Major intracranial vascular structures , pericavernous spaces and visualized intracranial nerve complex are normal .

The vestibulocochlear nerve on each side shows normal  course and diameter .

The cochlea and semicircular canals appear normal .

The mastoid air cells are clear and pneumatized .

– Left occipital craniotomy with left cerebellum atrophy & post op. changes

– Two well – defined و extra axial mass lesion ( 20 x 25 x 30 mm ) in right CPA & ( 18 x 20 x 28 mm ) in left CPA , with extension to internal auditory canal , with mass effect on cerebellopontine & with post contrast bright enhancement suggestive for  acoustic neuroma

are seen

in comparisson to previous MRI , no significant change is seen .