ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / M / 40 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches with seizures, vomiting and high B.P. on 00.00.00.

EXAMINATION :

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 T1 Weighted sagittal images.
3 mm thick T1 Weighted, T2 Weighted and FLAIR coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and 3 mm thick T1 Weighted coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.

FEW IMAGES SHOW PATIENT MOTION.

OBSERVATION :

There is a small well-circumscribed hypointense area within the right temporal region on the T1 Weighted images. This lesion is seen to turn heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. The adjacent gyri appear thick and are hypointense to normal gray matter on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and FLAIR images. There is slight effacement of the adjacent sulci.

On administration of contrast, a well-circumscribed 7.0 mm sized lesion is seen in the right temporal sulcus, better appreciated on the post-contrast sagittal image (se/im 111.18). There is suggestion of a small eccentric punctate speck within this lesion which may represent a scolex.

..2/.





Both the lateral, 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.

IMPRESSION :

The MRI features are suggestive of a well-circumscribed 7.0 mm sized lesion in the right temporal lobe and most probably represents a granulomatous infective lesion like a cysticercus.

A follow up scan would be worthwhile.