MRI report shows enhancing bone lesion is noted involving the left sphenoid bone.

[Gl448]

That’s from an MRI taken six weeks after 10 sessions of IMRT were completed for a surgically inoperable metastasis in my skull.

Apparently this means the contrast agent shows increased blood flow or activity in the tumor.

Does that sound normal to still have increased blood flow or activity six weeks after IMRT is finished? Or could it mean the IMRT was not successful?

Coincidentally I had an infusion of Pluvicto the day after my last IMRT session.

[Tall_Allen]

Radiation causes inflammation of bone lesions.

[Gl448 in reply to Tall_Allen]

Okay. Thanks!

[Alicat1]

Do you have any problems from the lesion such as loss of vision, hearing, headaches etc? Did they say how large it is? Asking as I have similar case.

[spencoid2 in reply to Alicat1]

I also have a bone lesion in my skull which was just treated with 5 doses of EBRT . I had three infusions of Pluvicto but my blood levels got too out of range to continue safely so I was switched to EBRT. I was lead to believe that in spite of being in my skull, the change of making it to the brain is remote. At least that is what I am believing for now

[Alicat1 in reply to spencoid2]

It sounds like it is outside the Dura of the brain in the skull base somewhere. Can you describe where it is in the skull base? Mine is on the clivia and about 2 by 2 by 2 cm. It's compressing the 3rd optical nerve causing double vision. I'm concerned if it grows it will compress more nerves. Normally they do endoscopic surgery to remove the tumor. It's a tricky surgery. It is the same type of surgery they do to remove a chordoma. I have decided to try do something about it.

[j-o-h-n]

I hate to admit this..... but I'm about to fucking pass out........

Good Luck, Good Health and Good Humor.

j-o-h-n