請問如何判讀MRI報告中的腦部病變？-腫瘤科

煩請陳醫師判讀腦部mri報告，感謝您？

109/09/16 影像或病理報告內容門 診 張盈珍 4573630-9 F 5099 050 REQ# PROCEDURE: ( 15020011 ) 開單日: 20200604 1430 更正報告 D55JCM5 MRI/ BRAIN (For GK Follow 執行日: 20200916 0938 REPORT P.1 報告日: 20201005 0025 MRI-BRAIN(For GK F/U) Date Of Examination:2020/09/16 09:09:12 Date Of RCP:2020/09/16 Magnetic resonance imaging of the brain for radiosurgical evaluation, before and after intravenous gadolinium injection were performed with the following propotcols thin-section axial SE T1WI, thin-section axial FSE T2WIs and post-contrast thin-section coronal and axial SE T1WI of whole brain compared with the previous MRI study taken on Jun. 4, 2020 ＞ A patient with image-diagnosed brain metastases at 10 months post gamma knife radiosurgery. ＞ The residual lesions in left anterior high frontal and right occipital areas of the brain showing no obvious interval changes. ＞ No ARE. ＞ No interval new lesions. ＞ No ventricular dilatation. ＞ No midline shift or brain herniation in the current study. ＞ No obvious bony destruction identified. CONCLUSION: a patient with image-diagnosed brain metastases at 10 months post GKS; the residual lesions in left anterior high frontal and right occipital areas of the brain showing no obvious interval changes; no ARE or obvious interval new lesions identifiable; no ventricular dilatation. Reported By Dr.Lirng Jiing F(License #:RD241) On:2020/10/05(00:25:18),(by Dr.Lirng Jiing F)At:VMRIST08 READING DR: 凌憬峰 STAFF DR: 凌憬峰 Positive Rate Eval 3 MRI-BRAIN(For GK F/U) Date Of Examination:2020/09/16 09:09:12 Date Of RCP:2020/09/16 ＞ The formal report will be sent days later. Reported By Dr.Lirng Jiing F(License #:RD241) On:2020/10/02(16:52:05),(by Dr.Lirng Jiing F)At:JFL-PC 凌憬峰 凌憬峰 Positive Rate E 3