Date : 00.00.00
Name of the Patient : Abc Xyzna I. Chamlmn / F / 32 yrs.
Referred by : Dr. Abc Xyzoctor / Dr. Abc XyzParekh.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O swelling over the right side of face with drooping of the right eyelid since 00.00.00 with headaches.
Known diabetic (recently detected).
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 STIR coronal images.
MR cisternogram was obtained in the coronal plane.
There is an intermediate signal intensity lesion in the region of the right superior orbital fissure and cavernous sinus anteriorly on the T1 Weighted images (se/im 106.5/6). This is seen to turn heterogeneously hyperintense on the STIR images. The cavernous portion of the internal carotid artery shows normal flow-void signal.
Hyperintense signal is seen in the superior opthalmic vein on the right side on the STIR images, ? slow flow/congestion.
The intraorbital muscles on the right side appear bulky as compared to the left. Slight streaking of the retro-orbital fat is also seen.
The optic nerves show normal signal intensity on STIR images bilaterally. The seventh and eighth nerve complex on either side are unremarkable.
Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
- 2 - scan-00006
Incidental note is made of inflammatory changes in the right frontal sinus, maxillary sinus, ethmoidal sinus and sphenoid sinus. There is swelling of the face on the right with mild hyperintense signal on the T2 Weighted images may be due to congestion.
Note is also made of a convex superior surface of the pituitary gland.
The MRI features are suggestive of an intermediate signal intensity lesion in the region of the right cavernous sinus and right superior orbital fissure as described. This is not specific for a single diagnosis. The following may be considered :
1. Neoplastic processes.
2. Inflammatory processes.
Also seen is increased muscle bulk within the right orbit, which is most likely the result of compression upon the right superior opthalmic vein by this lesion.