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ke/sb/rg/nl
/5 Date : 00.00.00

Name of the Patient : Abc Xyz Bhattachlmn / M / 27 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 0000. On anti-epileptics.
Now C/O headaches and heaviness on the right side.

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.
5 mm thick T1 Weighted sagittal images.
5 mm thick 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.

OBSERVATION :

There is an ill-defined hypointense area in the right parieto-occipital region involving the subcortical white matter on the T1 Weighted images. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. There is no significant mass effect. This most likely represents perilesional edema.

After administration of contrast, there is a small, well-circumscribed ring enhancing lesion measuring approximately 4.0 mms in diameter (se/im 102.15, 103.2) in right posterior parietal cortex.
Scan-00004



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.

Incidental note is made of bilateral mastoiditis, left maxillary and frontal sinusitis and inflammatory changes in the ethmoidal air cells.

IMPRESSION :

A 4.0 mms diameter sized ring-enhancing lesion in the right posterior parietal cortex with perilesional edema, is not specific for a single etiology. It is difficult to characterize this lesion on the T1 Weighted and T2 Weighted images. This lesion, however, most likely represents a cysticercus in the granular-nodular stage.




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