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Date : 00.00.00

Name of the Patient : Abc Xyz Almn / F / 28 yrs.
Referred by : Dr. Abc Xyz Sampat.
Examination : M.R.I. of the Brain.


H/O miliary kochs in February 0000. On AKT since then.
For follow-up.


M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

4 mm thick FLAIR coronal images.

After administration of contrast, the following parameters were used :5 mm thick T1 Weighted axial and coronal images with magnetization transfer. 5 mm thick T1 Weighted sagittal images. OBSERVATION :
There is a focal hyperintense area on the proton, T2 Weighted and FLAIR images within the left occipital, left high parietal and left frontal lobes. After contrast administration, this area shows disc/ring enhancement.

Focal hypointensities on the FLAIR images are noted within the left frontal, left parietal and left temporal lobes (would represent granulomas ? calcified).

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.

In a known C/O miliary tuberculosis the MRI features are suggestive of multiple tuberculomas in the left cerebral hemisphere as described.
As compared to the previous MRI (study no:0000) dated 00.00.00, there is a definite decrease in the size of lesions with no perilesional edema.

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