Date : 00.00.00
Name of the Patient : Abc Xyzl Jlmn / M / 15 yrs.
Referred by : Dr. Abc Xyzankhla.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right fronto-temporal gliosarcoma. Excised on 00.00.00. Received radiotherapy.
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 T2 Weighted coronal images.
IMAGES SHOW PATIENT MOTION.
There is a right temporo-parietal craniotomy with post-operative changes. A large collection is seen in the subgaleal region at the site of craniotomy which is slightly hyperintense to CSF on all the pulse sequences.
An ill-defined hypointense area is seen in the right fronto-temporo-parietal region adjacent to the Sylvian cistern on the T1 Weighted images which is seen to turn heterogeneously hyperintense on the proton and T2 Weighted images.
A lacunar infarct is noted in the left lentiform nucleus.
There is dilatation of the right lateral ventricle. There is slight fullness of the left lateral ventricle. The 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 bilateral maxillary sinusitis.
The MRI features are suggestive of :
1. Post-operative status.
2. Areas of gliosis with resultant dilatation of the body of the right lateral ventricle.
No obvious mass lesion is seen in the right fronto-parieto-temporal region.
As compared to the previous MRI (study no:00008) dated 00.00.00, there is an increase in the dilatation of the right lateral ventricle.
No obvious haemorrhage is seen on this study.