Date : 00.00.00
Name of the Patient : Abc Xyz S. Baindulmn / F / 56 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O discharge from left nostril since 2 months.
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.
3 mm thick T2 Weighted coronal and sagittal images through the region interest.
There are small bright foci, best appreciated on the FLAIR images in the subcortical white matter in the frontal regions bilaterally (scans 105.15-105.17). These lesions appear isointense to normal white matter on the T1 Weighted images and most likely represent ischemic changes.
There is a small, extra-axial CSF signal intensity lesion on all the pulse sequences in the left anterior temporal region which most likely represents an arachnoid cyst.
There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci bilaterally. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There is deviation of the nasal septum to the right. Slight hypertrophy of the inferior nasal turbinates is noted bilaterally, more on the left side.
There is seen an intermediate signal intensity lesion on the T1 Weighted images in the sphenoid sinus, right maxillary antrum and in the right anterior ethmoidal air cells. These lesions appear hyperintense on the T2 Weighted images. Fluid signal is also noted in the above described paranasal sinuses.
There is no obvious break of the cortex along the floor of the anterior and middle cranial fossa on either side.
1. Small bright foci better appreciated on the FLAIR images in the subcortical white matter in the frontal regions bilaterally most likely represent ischemic changes.
2. An arachnoid cyst in the left anterior temporal region.
3. Soft tissue in the paranasal sinuses as described may either represent inflammatory soft tissue or pooled CSF (in a c/o suspected CSF rhinorrhea).
4. Deviated nasal septum to the right with hypertrophied inferior nasal turbinates.