Date : 00.00.00
Name of the Patient : Abc XyzP. Kakolmn / F / 29 yrs.
Referred by : Dr. Abc Xyzl.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided headaches 1 week back with weakness of the right half of the body 3 days later.
C/O decreased hearing on the right side.
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 FLAIR coronal images.
There are fairly well-defined areas which are near isointense to CSF on all the pulse sequences within the left temporal and left frontal lobes. These are surrounded by areas of hypointensity on the T1 Weighted images and which turn hyperintense on the proton, T2 Weighted and FLAIR images and would most likely represent perilesional edema (? a portion of the lesion per se). There is effacement of the adjacent cerebral cortical sulci and indentation upon the left lateral ventricle with slight inferior displacement. Also seen is mild bulging of the falx to the right side.
A sliver of fluid is seen to overlie the left cerebral hemisphere and this may be the result of previous biopsy.
The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
The MRI features are suggestive of lesions within the left temporal and left frontal lobes as described. These most likely represent a neoplastic process like a glial cell tumor.
A contrast enhanced scan may be worthwhile.