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Date : 00.00.00

Name of the Patient : Abc Xyz Shlmn / F / 40 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O pain on the right side of the face since 2 years.

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.

Limited 3D TOF sequences through the region of interest.

4 mm thick GRASS coronal images through the region of interest.

OBSERVATION :

There is a small ill-marginated lesion in the left parietal region which measures approximately 0.5 x 0.6 x 0.7 cms which is hypointense on the T1 Weighted images and turns heterogeneously hypointense on the proton, T2 Weighted and GRASS images with few hyperintense areas in the centre. There is mild surrounding edema/gliotic changes (hyperintense on the proton and T2 Weighted images).

A vascular loop is seen to indent the root entry zone of the right trigeminal nerve. A small vascular loop is seen superior to the cisternal component of the left trigeminal nerve. However it is not seen to indent the nerve.







Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.

Incidental note is made of inflammatory changes in the sphenoid sinus on the right side.

IMPRESSION :

1. A lesion in the left parietal region measuring approximately 0.5 x 0.6 x 0.7 cms may represent a granuloma (? calcified).

A contrast enhanced scan may be worthwhile, if clinically indicated.

2. A vascular loop indenting the root entry zone of the right trigeminal nerve.

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