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What do these CT scan and MRI findings indicate?

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Posted on Mon, 16 May 2016
Question: Hi Doctor,

Please find the attached report. Can you answer the following couple of questions?
1. Does this look like malignant brain tumor?
2. What should be the next plan of action

CAT scan of abdomen and pelvis (with iv contrast) came clear
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Answered by Dr. Shiva Kumar R (18 minutes later)
Brief Answer:
Hi XXXXXXX welcome to HCM.

Detailed Answer:
I read you question carefully and I understand your concern.

Based on the symptoms and the CT and MRI imaging findings there is suspicion of brain lymphoma which is a kind of malignant tumor. However non cancerous disorders like demyelination (tumefactive) can also look like malignant brain tumors. Other modalities of investigations like PET CT and perfusion studies of the brain might help in differentiation but are not confirmatory. Best way to confirm the diagnosis is to do a brain biopsy which confirms the diagnosis.

So I personally feel you need to see your Neurosurgeon who is specialized in treating brain tumors for brain biopsy and treat accordingly. Wish good health.
I hope this helps you.
If you have any further query, I would be glad to help you.

Dr Shiva Kumar R
Consultant Epileptologist XXXXXXX XXXXXXX

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Shiva Kumar R

Neurologist

Practicing since :2001

Answered : 504 Questions

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What do these CT scan and MRI findings indicate?

Brief Answer: Hi XXXXXXX welcome to HCM. Detailed Answer: I read you question carefully and I understand your concern. Based on the symptoms and the CT and MRI imaging findings there is suspicion of brain lymphoma which is a kind of malignant tumor. However non cancerous disorders like demyelination (tumefactive) can also look like malignant brain tumors. Other modalities of investigations like PET CT and perfusion studies of the brain might help in differentiation but are not confirmatory. Best way to confirm the diagnosis is to do a brain biopsy which confirms the diagnosis. So I personally feel you need to see your Neurosurgeon who is specialized in treating brain tumors for brain biopsy and treat accordingly. Wish good health. I hope this helps you. If you have any further query, I would be glad to help you. Dr Shiva Kumar R Consultant Epileptologist XXXXXXX XXXXXXX