Date : 00.00.00
Name of the Patient : Abc Xyz lmn / F / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O Kochs in the midbrain since 1 year. On AKT since then.
M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, Proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
3 mm thick T1 Weighted and T2 Weighted coronal images.
There is still seen a well-marginated, approximately 0.5 cm diameter sized hypointense lesion on the proton and T2 Weighted images in the midbrain, centrally and more to the left of the midline. This lesion appears hypointense on the T1 Weighted images. There is perilesional edema which is seen to extend into the subthalamic region. 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.
IMPRESSION :An approximately 0.5 cms diameter sized lesion in the midbrain, centrally and more to the left of the midline follows a signal characteristics of a tuberculoma. As compared to the previous MRI (study no:0000) dated 00.00.00, there is reduction in the size of the lesion as well as the surrounding edema.
The previously identified small bright foci in the pons, posterior limb of the left internal capsule, left corona radiata, centrum semiovale bilaterally, in the right parieto-occipital region and right high parietal region are now not identified on this non-enhanced scan.