Date : 00.00.00
Name of the Patient : Abc Xyz Slmn / M / 18 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since childhood.
Known C/O cysticercosis. On Rx.
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 T2 Weighted coronal images.
A subcentimeter sized well-circumscribed lesion is noted in the right occipital lobe, which is hypointense to white matter on the T1 Weighted images and is seen to follow CSF intensity characteristics on all the pulse sequences. An eccentric hyperintense speck is noted within this lesion on the T1 Weighted images which is seen to turn hypointense on the T2 Weighted images and which would represent a scolex. There is surrounding white matter edema.
A smaller lesion, better appreciated on the T2 Weighted images is noted inferior to the above described lesion. This lesion has a hypointense rim with a hyperintense centre on the T2 Weighted images.
There is slight prominence of the left lateral ventricle as compared to the right which may be a normal variant.
The 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.IMPRESSION :The MRI features are suggestive of a granulomatous infective lesion in the right occipital lobe following the signal characteristics of a cysticercus in the colloid-vesicular stage. A small lesion inferior to the above described may represent a cysticercus in the granular-nodular stage.
As compared to the previous MRI (study no:0000) dated 00.00.00, there is reduction in the surrounding edema.