Brain MRI Results

TAMMY CARMONA

FINDINGS

BRAIN AND EXTRA-AXIAL SPACES: In the interval, there is significant enlargement in the multifocal areas of enhancement in the medial right temporal lobe since the previous exam of 04/23/2018. There is a dramatic increase when compared back to 01/22/2018. The inferior component of enhancement is without significant change measuring 1.3 x 1.8 cm (transverse by AP), as seen previously. However the superior component measures 1.6 x 2 cm and previously this measured 0.9 x 1.5 cm. In addition there is a more anterior component of enhancement that measures 1.3 x 1.1 cm that previously measured 0.8 x 0.4 cm. Thus, there is significant increasing enhancement in the medial temporal lobe. Surrounding edema in the right temporal lobe extends back little more posteriorly than previously. Perfusion images however do not show significant increased perfusion. Perfusion images suggest that these changes are related to radiation necrosis. However given the significant progression, I am concerned this is progressive neoplasm at this site..

The 2 mm focus of enhancement laterally in the right cerebellum on image 23 of series 10 is unchanged. The small focus of hemorrhage superiorly in the left superior cerebellum is unchanged.

No new areas of enhancement are visualized.

VENTRICLES: Normal in size and configuration.

SELLA/PARASELLAR REGIONS: Partially empty sella is again visualized.

VESSELS: Normal flow related enhancement in the major vessels of the circle of Willis and the major dural venous sinuses.

CALVARIUM AND SKULL BASE: No calvarial abnormalities are identified. PARANASAL SINUSES/MASTOID AIR CELLS: The paranasal sinuses, middle ear cavities and mastoid air cells are well-aerated.

ORBITS: Within normal limits

CRANIOCERVICAL JUNCTION: Within normal limits

OTHER FINDINGS: No other significant findings are seen.

IMPRESSION:

1. Interval significant increase in enhancing multifocal areas in the medial right temporal lobe since the previous exams of 4/23/2018 and 1/22/2018. Although this could still be radiation necrosis, recurrent neoplasm is an increasing concern.. MR cannot definitely differentiate these.

2. Unchanged tiny punctate focus of enhancement in the right cerebellum and small focus of hemorrhage in the left cerebellum.

3. No new areas of abnormality.

I love my radiology oncologist. She’s always honest with me. She’s says this is not good. We are not sure if it’s cancer or necrosis from radiation. There will be a meeting on my case on Monday. Then we will have a new plan. Right now the plan is to add another drug to my Xeloda and rescan in 2 months. If the progression is still as fast as it has been the past two months then brain surgery is my option. This plan may change after the board meeting. They will also consider some clinical trials. It seems to be another wait and see.

For now, I’m going to enjoy summer! I’m still going to the beach for a week and then the 🍒 on top is Lynard Skynard in September!😂. This has already been an eventful summer! I tell myself daily that I am blessed to be here and still be making memories! I have watched as T.J. got his first job, his first checking/ savings account, and finished drivers ed! He will be driving me around next week! I told him one day he will wish he didn’t have to work. I said don’t you want to hang by the pool, kayak and do things like that this summer? He said “Mom, I’m building my resumé”. 😂. How do you say no to that? I’ve also had so much quality time with my precious grand babies! You know I’m including pictures!

Thank you all for your love and support. You all bring sunshine to my life! I may make cancer look easy, but it’s not. When you see my adventures on Instagram or Facebook, know that I’m in bed on pain meds the next day. It’s so worth the memories I’m making! Life is so good! Get out and enjoy it and make some memories!!!!!Sending love to each and everyone of you!💕💕💕💕

Advertisements

Wednesday…Mammogram Day..Feb 6, 2013

Tuesday, February 6, 2018 I hit my five year mark. Five years living with metastatic breast cancer. Being diagnosed at Stage 4 means I’d unknowingly been living with cancer for a while. This was just the day I first heard “you have cancer”. I’ve been blessed the last five years with so many memories. Tonight, in reflection, I’m going back to my first ever blog post. I actually started the blog for my sister who lives in North Dakota. It grew into so much more. You all have become a huge part of my life and I’m grateful. 💕💕💕

Tammy Carmona

Today’s Wednesday. I love Wednesday, it’s my favorite day of the week. My Javiee is off on Wednesday, so it’s always a special day for us. We go out to breakfast on Wednesday, then we go shopping and get what we need for the week ahead. I know it sounds pretty simple, but it’s our time and we enjoy every second of it. Today’s a little different. Breakfast and then a mammogram (I found a lump in my left breast). I’m thankful my Javiee is with me for my appointment. I wasn’t really worried, I thought it would be nothing. The lady doing my mammogram was so nice, but when she saw the image and said wait right here a minute while the doctor looks at this, he may want to do an ultrasound , I knew there was a problem. Ten minutes later another lady is doing an ultrasound…

View original post 219 more words

Hello April!

I’m happy to say hello to a new month!  March was probably the craziest, busiest, most stressful and most rewarding month I’ve ever had!

I flew to Vegas and filmed a television show (and signed a confidentuality agreement). So there are no details about the show that I can share with you. Sorry!  I would love to because I think it’s going to be amazing! You guys will just have to wait.  It was a fantastatic experience and I met the most wonderful people while doing this project.  My Javiee bought me a new wig for the filming and there was a professional makeup artist there so I felt beautiful…..here’s a picture!

image

I have to include a picture with my Vegas partner in crime, Marilyn.  Ok, so no real crimes were committed, but we had a fabulous time together!  Thank you Marilyn for taking this journey with me!

image

Two days before I left for Vegas my husband was on a plane to Mexico.  This was the stressful part of my month.  I share my family and my life with cancer with you all.  There are somethings that I haven’t shared with many people.  One of these things is that my sweet Javiee was illegal.  I mean walked across the desert for 6 days illegal.  He told me before we even started dating.  Honestly, I didn’t care.  I knew it wouldn’t be easy.  I also knew it would be worth it.  It’s been eleven years and I wouldn’t trade a minute of our time together for the biggest house or the fanciest car on the block. He has loved me during the good times and held me up during the bad.  He has worked so hard to help T.J. become the confident young man that he is now.  He is a grandpa to Jax and will always be there for Kori and Kristen.  We are all blessed to have him in our lives.

Sending him to Mexico for his immigration appointment was so stressful.  If denied he was facing a ten year bar from returning. Talk about nerve wracking!  He was approved and is home now ( the process took four years). He’s legal, has a social security number and a drivers license.  Talk about life changing.  Freedom (don’t take yours for granted)!  I have watched my Javiee be taken advantage of SO many times because he was illegal.  That won’t happen anymore.  Now is his time to get what he deserves and I’m so happy for him! And us!

image

Here’s the sad part.  If I wasn’t diagnosed with cancer he would have never been approved.  He was approved because of a hardship waiver.  I know most people think you can apply and go through a process and become legal if your married to a citizen.  It doesn’t work that way if your here from Mexico illegally.  Now if your a citizen and want a Russian bride you can just go apply for a K-1 Visa and that’s that.  Ridiculous if you ask me.

image

Here’s one of the first pictures that Javiee, T.J and I had taken together.  Javiee has always been there for us and I can’t imagine life without him.  We are so blessed to have him home!💕💕

The month ended with a baby shower, a week with our precious little Jaxon, a new car (new to us) and an all day wrestling tournament with T.J.

A few pictures from the baby shower.  Kori and Emily will be having a little girl soon!

imagePictures from our week with Jax.  He is the sweetest. I love spending time with him and I love hearing him say glamma!

imageHere’s a picture from the wrestling tournament.  It was T.J.’s first time wrestling Greco Roman and freestyle.  He came home happy with two third place medals.

I have to thank two beautiful souls before I end this post Linda and Windy.  Remember I told you my doctor wanted me to stop driving our 5 speed because it was aggravating the pain in my hip and spine.  We had planned on buying a new car when Javiee came back from Mexico and went back to work.  The immigration process took what money we had saved so we decided to wait until we could save money for a decent used car.  Having a car payment is not a good thing when you have cancer because you never know what medicines or treatments won’t be covered by your insurance the next month.  I lost the last new car we had because I had to pay for my first surgery and was out of work.  I thought it was better to just keep driving the 5 speed for a while.  Well, thanks to Linda and Windy I’m no longer driving that 5 speed.  They gave us a car this week.  How do you say thank you to such a kind gesture?  They are special ladies and we are so thankful to them.  We love you Linda and Windy!  I wish I had a picture of them to share!

What a month, right?  Six months ago I was doing WBR and a new chemo.  I was so sick.  It was the first time I had ever felt like it may be the end of my life here.  I remember a consult with my doctor about changing my meds.  My mom was there and she knew how sick I was.  She asked me if I really wanted to start a new medication and add more to what I was already dealing with.  I would do anything for more time/memories with my family.  I did start the new treatment regimen and I’m so glad I did.  One new medicine can change so much.  Look at the month I’ve had!  I would have missed this!  Donating to research is so important to those of us living with Metastatic Breast Cancer.  Please support Metavivor.  100% of your donation will go to research.

I Love you guys!  Thank you for sharing my life with me.  I know there will be the random person that comes across my blog with opinions about immigration and such.  It’s fine, your comments are welcome.  One thing that cancer has changed in me is that I don’t mind criticism.  I don’t need approval.  Think about your life.  Wouldn’t it be nice to be free, not to worry about what everyone else thinks.  Life is short do what makes you happy and make those memories!!!  Sending love to you all!

Please Help Those Of Us Living With Metastatic Cancer

If all of my followers will take a moment and read and sign this petition we will have enough signatures!  Please take a moment of your time and sign!  Races won’t save our lives but research will!  Click the link below to show your support!  Thank you in advance!  You all make my heart smile!  All my love…

Please read and sign!  (this is the link)

WE PETITION THE OBAMA ADMINISTRATION TO:

Add metastasis research as a specific goal of the Cancer Moonshot

90% of all cancer deaths in the United States are caused by metastasis–the spread of cancer through the body. But the current Cancer Moonshot goals don’t include research into the causes of and treatment of metastasis. Metastatic research has been chronically underfunded, resulting in a continuing lack of understanding of metastasis and how to stop it. Although many of the moonshot goals may help metastatic patients, understanding the metastatic process is vital to saving lives and turning terminal cancers into chronic diseases. Making metastasis research a specific goal of the Moonshot will bring important attention and resources to bear on solving the mysteries of metastasis and providing better treatments for metastatic patients.