December Clinicals

I had an opportunity to scan a brain on monday. It was of a woman under the age of 40 so we used the "Under 40" brain without contrast protocol used at this (CDI in Indianapolis Indiana) facility. Before we scanned the patient she informed us that there is a history of Cavernous Angioma. Her symptoms were dizziness and headaches. As we were scanning the patient, we noticed a spot highlighting in the area anterior to the cerebellum on the left side. A previous brain scan was done a year and a half ago. After the patient left we pulled up the prior brain scan and noticed that the spot had grown.

Later on in the week, we checked to see the diagnosis of the scan. With where the spot was located in the prior brain scan and its small size the radiologist thought it to be flow, now comparing it to the most recent scan, the spot has grown from 2-3mm to 9 mm. It was undetermined as to what it was so the radiologist wants to bring the patient back in for contrast. They are wanting to differentiate whether it is a dermoid cyst, arachnoid cyst or even a hemorrhagic acoustic neuroma. He is also asking other CDI radiologist nation-wide for their option.

I want to continue to follow the progress of this patient to find out what the outcome is for this patient.