Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / M / 69 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with high grade fever and vomiting (twice) since 3 days.
Swelling with right eye proptosis.
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.
There is no focal area of altered signal intensity within the brain parenchyma per se.
There is a hyperintense signal best appreciated on the FLAIR coronal images in the interhemispheric fissure, more so posteriorly and in the right frontal subdural space/subarachnoid space. This lesion is of intermediate signal intensity on the T1 Weighted images and may represent inflammatory meningeal thickening/small subdural collection.
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.
Inflammatory changes are noted in the frontal sinuses, ethmoidal air cells and right maxillary sinus. There is proptosis on the right side.
Altered signal in the interhemispheric fissure and in the right frontal subdural space/subarachnoid space may represent inflammatory meningeal thickening/small subdural collection.
A contrast enhanced scan would be worthwhile.
Inflammatory changes in the paranasal sinuses and right sided proptosis as described. An infective pathology, especailly a fungal lesion should be excluded.