Do you think the tumor not absorbing gadolinium in the same fashion as the first MRI is a definitive sign of necrosis? These Radiologists are leaving the necrosis part out of the report for some reason.
I'll put my case in perspective.
The MRI was done at the VA. No issues with the machine or the scans.
The radiologist at the VA is obviously not an AN specialist and, comparing the current report to the previous two reports done at the VA, appears to be using boilerplate language for his findings.
My ENT at the VA is a PA (physician's assistant) and basically just rubber stamps approval for the outside services of Barrow Neurological Institute's Acoustic Neuroma Center. His reaction to the report was to authorize additional consults at Barrow.
My neurotologist commented in an email that the few MRI images that I sent him showed that GK appears to have had the desired effect. A similar comment came from the neurosurgeon who also indicated no surprise that the VA's radiologist didn't mention the darkening of the tumor.
Once I get the consult authorization I'll go in and get a more "definitive" evaluation of the MRI just to have something to report here.
Meantime, I have no issues with the GK results other than curiosity about the omission.
My 6 month post GK experience has been (as they say in the medical business) "unremarkable."