My dad had a brain MRI today due to recent severe migraines, SEVERE low back pain radiating to his legs to where he can’t even get comfortable in bed anymore and falls to his knees when they give out when he walks, and loss of coordination when he walks. They wanted to rule out NSCLC metastasis to brain but the end results don’t seem to show cancer his radiation oncologist said. However, no one seems to know what they show, only that something is going on in the brain. His radiation oncologist is getting him an appt with a neuro oncologist but we don’t know how soon that will be. His oncologist at Moffitt is on vacation so doesn’t even know about it. His back has been hurting off and on for a few months but this is a sudden, severe onset and he’s a major fall risk. Update - I did take him to the ER last night and it was worthless. They had no answers and discharged him with “see your doctor”. Brain MRI results read:
1. New FLAIR signal abnormalities involving the anterosuperior cerebellum, medially, with contiguous involvement of the lateral and posterior pons, fairly symmetric. Uncertain etiology. Could represent Rhombencephalitis, with possible causes including infectious/inflammatory or paraneoplastic etiologies. No enhancement/leptomeningeal enhancement is seen, though neoplastic etiology is not excluded given history. Appearance not typical for Wernicke encephalitis. No reported radiation in area.
2. Apparent involvement of the 5th cranial nerve root entry zones bilaterally, though non dedicated study.
3. Question faint enhancement involving the right para midline frontal lobe, improved from prior where there was more discrete enhancement seen in this area.
4. No new enhancing intracranial lesion.
5. No acute infarction.