Patient Information

Name: Tye Alekzander Johnson

DOB: 5/20/2022

MRN: M4935861

PCP: AMANDA DIANE GRIFFIN, MD

Legal Name: Tye Alekzander Johnson

Results

Test: MR BRAIN W/WO (Tye)

Collected on: June 11, 2024, 10:05 AM

Impression

New disease recurrence in various regions, including the bilateral middle cerebellar peduncles, pons, and left dorsal thalamus.

Findings discussed in neurooncology tumor board at 12:30 PM on 06/11/2024.

Finalized BY: BOSEMANI, THANGAMADHAN, MD 06/11/2024 14:27:52

Narrative

Exam: MRI BRAIN WITH AND WITHOUT CONTRAST

History: 2-year-old male with ATRT, post-chemoradiotherapy, early May 2024.

Technique: Multisequence multiplanar brain MRI with contrast.

Comparison: MRI brain dated 01/29/2024.

Findings

Original tumor predominantly solid with progression noted in specific regions.

New recurrence detected with abnormal T2/FLAIR signals.

Dominant recurrent mass measures approximately 2.1 x 1.8 x 1.3 cm.

Other notable findings include vasogenic edema, hemosiderin deposition, stable mild volume loss, and unremarkable orbits.

Report Details

Ordering Provider: Mandy Mansell

Reading Physician: Thangamadhan Bosemani, MD

Study Date: June 11, 2024, 2:27 PM

Result Status: Final

Additional Notes

Redemonstration of posterior fossa resection cavity.

Stable supratentorial brain volume loss with no extra-axial fluid collection.

Unremarkable pituitary gland and clear mastoid air cells.

Patient Information

Name: Tye Johnson

DOB: 5/20/2022

MRN: 41588529

PCP: Lindsay J. Schwandner, M.D.

Legal Name: Tye Johnson

Results

Written by: Craig Macarthur, M.D. on 8/22/2024 10:14 AM EDT

Seen by proxy: Terri Hillock on 8/22/2024 4:44 PM

Narrative & Impression

Report generated by voice recognition software by Heidi H Lewis, M.D. on 8/21/2024.

Examination: MRI HEAD W/ & W/O CONTRAST

Exam Date: 8/21/2024 1:00 PM

Diagnosis: Atypical teratoid rhabdoid tumor of brain (HCC)

Findings: Significant interval decrease in abnormal enhancement areas, persistent enhancing mass in the right middle cerebellar peduncle, and no new areas of enhancement.

Impression

Significant improvement in previously seen abnormal enhancement areas.

Increased mild to moderate ventriculomegaly with volume loss.

Signing Physician: Heidi H Lewis, M.D.

Signing Date/Time: 08/22/2024 10:09 AM