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What Do These MRI Findings Indicate?

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Posted on Fri, 7 Jul 2017
Question: I had a vestibular schwannoma removed Nov 29, 2016. I had a MRI the very next day and the clinical indication came back Neoplasm brain unspec malignant. I was never aware of this until I went for my follow up MRI on May 23, 2017. The clinical indication came back benign neoplasm of cranial nerves. How can this be? The MRI also states that the residual left mastoid air cells demonstrate fluid opacification. there is persistent mild narrowing of the left sigmoid sinus which remains patent. It also states a small ankle retention cyst in the left maxillary sinus. I have not spoken with my doctor about these reports yet. I currently have a salt taste in my mouth which my doctor is aware of. My sinuses continue to drain and I am still having severe headaches since the operation. I get tired very easily and my short term memory is terrible.
Thank you
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Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
Not malignant

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone carefully through your query and understand your concerns. Let me assure you that the report does not state "Neoplasm brain unspec malignant" as a finding but as the history as in indication for surgery. This is not a radiological finding. It is just the statement received as the cause for undertaking surgery. I think he meant to write that "neoplasm of brain unspecified whether it is malignancy". The reason for writing so is that irrespective of whether the neoplasm is benign or malignant, the radiologist has to make sure to check for any finding that could point to the possibility of a malignancy. However, no such finding has been detected. In such a case you need not worry.

The complaints that you have are a sequel of the surgery and you would need to be patient and wait for it to subside. I would insist you to take steam inhalation. It will help to ease your sinusitis.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Do These MRI Findings Indicate?

Brief Answer: Not malignant Detailed Answer: Thanks for asking on HealthcareMagic. I have gone carefully through your query and understand your concerns. Let me assure you that the report does not state "Neoplasm brain unspec malignant" as a finding but as the history as in indication for surgery. This is not a radiological finding. It is just the statement received as the cause for undertaking surgery. I think he meant to write that "neoplasm of brain unspecified whether it is malignancy". The reason for writing so is that irrespective of whether the neoplasm is benign or malignant, the radiologist has to make sure to check for any finding that could point to the possibility of a malignancy. However, no such finding has been detected. In such a case you need not worry. The complaints that you have are a sequel of the surgery and you would need to be patient and wait for it to subside. I would insist you to take steam inhalation. It will help to ease your sinusitis. Let me know if I could help further. Regards