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Case #1

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Expand Physical Exam

02/10/XX

40-year-old male with new onset seizure disorder.

Expand X-Rays & Scans

02/10/XX

Head CT: 3.9 cm intraparenchymal lesion identified within the R frontal lobe.

02/12/XX

Brain MRI: 4.2 cm mass R frontal lobe compresses the R frontal horn and extends slightly across the midline and to the right lateral ventricle.

02/12/XX

Chest X-ray: No acute process seen, negative for malignancy.

Expand Pathological Reports

02/16/XX

Brain: R frontal lobe, low grade astrocytoma (WHO grade II).

Expand Treatment

02/16/XX

Surgery: R frontotemporal craniotomy and gross total resection of tumor.

04/18/XX

Radiation: Beam radiation to brain started 5600 cGy to primary tumor bed at 200 cGy per fraction for 28 fractions 6MV & 18 MV photons