Tuesday, 31 January 2012

and then there were two!

Had my annual MRI on Monday afternoon. My follow-up appointment to see my radiologist/oncologist for the results is not until 24th February (wonderful OPD organisation)! So yesterday I emailed to ask if the results might be emailed to me before this date.

I was very pleased to receive the results almost by return and relieved to read that Feckit had not grown any bigger, but was understandably kind of bushwhacked to find mention of TWO meningiomas!

Moderately homogenously enhancing petroclival mass on the left side remains stable in its size (2.1cm (AP) x 1.6 (H) x 1.0 (W)cm) and appearance. Although it is in close proximity to the posterior aspect of the left cavernous sinus, no involvement is seen and the internal carotid artery still has normal flow void signal.
The mass remains indenting the left side of the prepontine cistern, but does not abutt the adjacent pons.

The other meningioma is seen in the midline of the floor of the anterior cranial fossa and is unchanged in size and appearance measuring 9 x 9mm.

The ventricles are normal in size and appearance.
Nonspecific areas of increased T2 signals are again seen in the periventricular white matter.
No other intracranial abnormality is seen, in particular no bleed, lesion and abnormal enhancement.

COMMENTS: Two menigiomata, one in the left petroclival region and the other midline frontal remain stable in the sizes and appearance.  

Meningioma No.2 is the 'round blob' seen here below the two cerebral hemispheres (above 'nose')

Needless to say I hurriedly contacted my consultant again who is at a loss to know why this second tumour has not been mentioned in radiology reports on previous CT (one) and MRI scans (four). (I have copies of all these reports.) Apparently it was only visible on one 'slice' and has not changed in appearance since a first picture in 2009. She wonders if it wasn't mentioned because it was considered 'trivial'.

Not trivial to me!! Although I realise that, at 9mm x 9mm it will be watched and only treated if it should continue growing or start to cause problems, it is isn't very comforting to know that Feckit has a companion.


Sarah said...

Well I think they should have mentioned that when they first found it!! Glad seems stable from mri, just not the news you wanted having a companion in there for feckit.

lesly said...

Yes indeed, it should have been reported on every MRI - have had 5 so far. Just don't know why it wasn't until now, ... this last radiologist (Registrar not Consultant) was obviously very conscientious! xx

DJ said...

Lesly, are there any actions you can take to have such an ovesight recorded in a personnel file or the equivalent?

lesly said...

DJ - I have drawn my consultants attention to the anomaly in the previous reporting and feel that she should be the one to investigate the matter. I am sure that she will as she was concerned that the second tumour had not been mentioned until now. No doubt she will have words with the senior radiologist as it reflects badly on the Oncology Unit too.

Hope that all is well with you these days .... and that you have have a happy year ahead!