Please review and evaluate the glomus tumor findings.
Dear Sir or Madam,
In 2006, a Glomus tumor (benign) was discovered in my skull by chance. An MRI was performed due to tinnitus following a visit to a nightclub. The tumor is not related to the tinnitus. Despite this, the doctors wanted to operate on the tumor, but I decided against it as I felt the risks were too great. From 2006 to 2012, I had the tumor monitored via MRI. Over the years, it did not grow further, and the chief doctors decided to monitor the tumor every 2 years. I must admit that since 2012, I have neglected this and only now in 2021 have I had an MRI done.
I now have the report at home, and it is worrying me as I do not understand it. Unfortunately, I have to wait for another 2 weeks for an evaluation, but I do not want to wait and hope you can help me.
I will now copy the report as I am unable to upload it:
Clinical information: Anamnestically Glomus tumor in the petrous bone. Follow-up external preventive examination January 2012
Report:
The inner and outer supra- and infratentorial cerebrospinal fluid spaces are age-appropriately depicted. There is a regular cortical differentiation. Normal signal in all weightings. No evidence of diffusion disorders. The basal ganglia are symmetrical. The basal cisterns are clear. No susceptibility artifacts in T2. Symmetrical representation of the internal auditory canals. In the angiography of the brain arteries near the base, no vascular malformation, interruption, or high-grade stenosis. Mucosal swelling in the maxillary sinus and left sphenoidal sinus leading, otherwise ventilation of the paranasal sinuses and mastoid air cells. At the tip of the left petrous bone, spotted secretion and also minimal secretion accumulation ventral to the canals on the right. No soft tissue swelling. In the mastoid air cells on the right, lateral to the canals, a 6x4mm T2 lesion, with minimal signal hyperintensity in T1W. Located directly at the external genu of the facial nerve and connecting to the canals.
Assessment:
Age-appropriate unremarkable MRI of the neurocranium. No fresh or past cerebral ischemia. No brain pressure or cerebrospinal fluid circulation disorder. Unremarkable angiography of the brain arteries near the base.
Compared to the previous external examination and written findings; evidence of a T2 lesion within the petrous bone on the right lateral to the canals; a bony involvement not morphologically excluded by MRI. Tubular connection to the canals in T2w. Differential diagnostic congenital variant/anomaly. For further diagnostics and confirmation/exclusion of suspected anamnesis of Glomus tumor, urgent recommendation for additional high-resolution thin-section CT of the petrous bone and additional imaging of the skull base/upper cervical spine with contrast enhancement intravenously with 1mm thin section.
Slight secretion retention in the petrous bone on both sides, leading to the left. Chronic sinusitis involving the sphenoidal sinus.
That was the report.
A little about me:
Male, 31 years old, smoker, otherwise in good health. Absolutely no complaints in the head, never had headaches, no dizziness, full motor function. Slight stuttering since childhood.
I hope you can provide me with a brief and understandable explanation of the report.
Thank you!
