JAMES HAWK SMITH

Oct. 31, 2006

Here is the report of Hawk's last MRI:

FINDINGS: Within the right central pons again seen is a expansile lesion that demonstrates confluent T2 hyperintense signal and T1 hyperintense signal without enhancement. This mass appears to have increased slightly in size when compared to the prior study. This mass measures 3.7 cm in greatest axial dimension and previously measured 3.5 cm. In the craniocaudal dimension, this lesion also measured 3.5 cm and now measures 3.8 cm. In addition, the cavitary portion of the lesion in the superior aspect has increased in size as well. No intraparenchymal hemorrhage is noted. Ventricles remain normal in size and configuration.

IMPRESSION: Minimal increase in size of the brain stem glioma when compared to the prior study dated July 24, 2006

This may be minimal, but any growth is not good.

I talked to Shaylee's mother today and she said that Shaylee is still the same. The last time I talked to her grandmother, Pat, she said that Shaylee was very weak and had stopped watching TV. She said that her cry was very weak.

Thanks to all for all of prayers for Shaylee and Hawk. Please continue to pray for them and their families. May God bless all of you.