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sb/hs/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzlmn / F / 51 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

C/O speech disturbance since 3-4 months.
Known hypertensive.

EXAMINATION :

After administration of contrast the following parameters were used :

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

5 mm thick T1 Weighted axial images (with fat saturation).

The cervical spine was screened with 5 mm thick T1 Weighted sagittal and axial images (with fat saturation).

OBSERVATION :

After administration of contrast, there is enhancement of the previously described plaque like lesion. This lesion is seen to extend along the posterior margin of the clivus upto the C3 vertebral level. The lesion is most likely an epidural lesion. Minimal indentation on the cervico-medullary junction and on the anterior dural theca at the C2 and C3 vertebral levels is noted.

Artifacts due to dentures are noted.

There is no other focal area of abnormal enhancement within the brain parenchyma or along the meninges.

The previous differential diagnosis are still valid.

Please let us have the follow-up.
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