Date : 00.00.00
Name of the Patient : Abc XyzT. Slmn / F / 10 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 1 year. On anti-epileptics.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick Fast Scan (T2 *) coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
There is a well-defined lesion in the medial aspect of the left temporal lobe in the region of the hippocampus which measures approximately 1.5 x 1.1 x 0.8 cms. This lesion is isointense to grey matter on the T1 Weighted images and turns hypointense on the proton and T2 Weighted images and blooms on the Fast Scan (T2 *) images. There is mild indentation upon the left temporal horn. There is no surrounding edema.
The rest of 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.
Incidental note is made of enlarged adenoids.
The MRI features are suggestive of a lesion measuring approximately 1.5 x 1.1 x 0.8 cms in the medial aspect of the left temporal lobe in the region of the hippocampus as described.
The possibilities to be considered are :
a. Glial cell tumors like an Oligodendroglioma.
c. Calcified granuloma.