Date : 00.00.00
Name of the Patient : Abc Xyzao Plmn / M / 58 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O craniotomy done on 00.00.00 for a Grade IV glioblastoma. Received 33 sittings of radiotherapy.
Now C/O loss of appetite and altered speech since 15 days.
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.
IMAGES SHOW PATIENT MOTION.
There is evidence of a left high parietal craniotomy.
There is evidence of an irregularly defined area of hypointensity on the T1 Weighted images which turns hyperintense on the proton and T2 Weighted images and follows CSF signal on the FLAIR images within the left parietal lobe.
There is mild to moderate dilatation of the ventricular system. Hyperintense areas are noted on the proton, T2 Weighted and FLAIR images in the periventricular white matter. This would represent periventricular CSF ooze. Also seen is effacement of the cerebral cortical sulci bilaterally. This may suggest raised intracranial tension.
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 Grade IV glioblastoma the MRI features are suggestive of :
1. Post-operative status.
2. Altered signal in the left parietal lobe most likely represents an area of cystic encephalomalacia. The possibility of residual infiltrative lesion cannot be entirely excluded.
3. Communicating hydrocephalus with periventricular CSF ooze.