ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Diclmn / M / 18 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures 1 week back.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T2 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a small subcentimeter hypointense area in the right frontal region which is seen to remain so on the proton and T2 Weighted images. There is surrounding white matter edema with mass effect and effacement of the adjacent sulci (scans 102.13, 104.13, 103.13).

On administration of contrast, there are atleast two ring enhancing lesions in the right frontal region (scans 107.13, 106.7, 106.8, 108.18, 108.19).
- 2 - Scan-00001



There is no other area of abnormal enhancement within the brain parenchyma or the meninges.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of granulomatous infective lesions in the right frontal region following the signal characteristics of tuberculoma.