Date : 00.00.00
Name of the Patient : Abc Xyznt Bhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided seizures since 8-9 months.
H/O injury to the left eye 8 months back for which patient was operated 4 months ago. Now C/O diminished vision in the left eye.
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 and Fast Scan (T2 *) coronal images.
There are ill-defined, hyperintense areas, best appreciated on the FLAIR images in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region. These lesions appear nearly isointense to normal white matter on the T1 Weighted images. In the centre of some of these lesions a focal hypointense signal on the FLAIR images is noted.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is 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 left maxillary antrum.
Altered signal in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region and in the left parietal, parafalcine region as described, is not specific for a single diagnosis. These lesions either represent granulomas or metastases.
A contrast enhanced scan would be worthwhile.