National Hospital - Kandy

Department of Radiology
Name: Mrs. R.G.Kusumalatha Age 47Y Sex: Female
WD/Clinic: Oncology BHT No: 2728 Date 27-Mar-2021
Requested by: Dr S.L. Kandegedara(Consultant oncologist)
Indication: Excision of left frontal lobe oligodendroglioma - follow up scan

MRI Scan Brain No. 935

Evidence of craniotomy in left frontal bone.

There is an area of cystic encephalomalacia measuring 6.5 x 3.4 x 4.5cm cm (AP,TR,CC) in left
anterior frontal lobe adjacent to anterior horn of left lateral ventricle, evident by hypo intensity on

T1W and T2W hyperintensites and low and high intensity on FLAIR. No diffusion restriction.
Surrounding anterior and parietal lobes shows T2/FLAIR hyperintensities which could represent
combination of gliosis and vasogenic edema.
No contrast enhancing areas are seen in the surgical site to recurrence.

A 1 x 1cm well circumscribed rounded T1 hypointense T2 hyperintense FLAIR hypointensearea is seen in

the parasagittal left lfrontal lobe. It has blooming artefacts with no diffusion restriction. it could be a
dilated blood vessel.

No hydrocephalus.

Rest of cerebral sulci and gyri are normal and grey and white matter demarcation is preserved.

No intracerebral haemorrhages.

Brain stem and cerebellum appear normal. Basal ganglia appear normal.

Comment:

 Post-surgical changes in left frontal lobe, no evidence of recurrence of surgically

treated oligodendroglioma.

Dr.PHA (MO/Rad) Dr. Ganganath Rodrigo - Consultant Radiologist