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hs/sb
/862 Date : 15/00.00.00

Name of the Patient : Abc Xyzee lmn / F / 50 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain over the right half of face since 6 years with difficulty in eating and speaking.

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 T1 Weighted and T2 Weighted coronal images.

MR cisternogram was obtained in the coronal plane.

A limited MRA was obtained through the region of interest.

OBSERVATION :

The seventh and eighth cranial nerve complex on the left side appears to be bulky with effacement of the CSF in the left IAM. The right seventh and eighth cranial nerve complex and both the visualized trigeminal nerves are unremarkable.

There is no focal area of altered signal intensity in the brain parenchyma.

There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of the third and both the lateral ventricles.







The fourth ventricle is normal. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of pansinusitis.

IMPRESSION :

The MRI features are suggestive of a bulky seventh and eighth cranial nerve complex on the left side and this may suggest inflammation/acoustic neurinoma.

If clinically indicated a contrast enhanced scan may be worthwhile to rule out the same.

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