Date : 00.00.00
Name of the Patient : Abc Xyzd Bhanlmn / M / 45 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).
CLINICAL PROFILE :
C/O seizures since 00.00.00 with fever.
After administration of contrast, the following parameters were used.
5 mm thick T1 Weighted coronal and axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
After administration of contrast, there is patchy enhancement of the lesions in the left posterior parietal parafalcine region, left high frontal region and in the right frontal region. There is no significant enhancement of the lesion along the left medial temporal cortex.
There is no other focal area of abnormal enhancement in the brain parenchyma or along the meninges.
The ventricular system is unremarkable. There is no midline shift.
- 2 - scan-00002
Enhancing lesions in the left posterior parietal parafalcine region, left high frontal region and in the right frontal region and a non-enhancing lesion along the left medial temporal
cortex (? post-ictal) as described are not specific for a single etiology.
The differential diagnosis would include,
1. Neoplastic lesion like a multicentric glial cell tumor.
2. Multiple metastasis.
3. Less likely to represent vascular or demyelinating lesions.