Date : 00.00.00
Name of the Patient : Abc Xyzhlmn / F / 30 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O weakness of the right foot with generalized weakness and fever 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 T2 Weighted and FLAIR coronal images.
The cervical spine was screened with 5 mm thick T2 Weighted sagittal images.
There are multiple, well-marginated, hypointense lesions on the proton, T2 Weighted and FLAIR images in the cerebellar hemispheres bilaterally. These lesions are nearly isointense to normal white matter on the T1 Weighted images and varying in size from 1.0 cms to 2.2 cms in diameter. There is perilesional edema with effacement of the cerebellar folia bilaterally and compression of the fourth ventricle.
Multiple smaller lesions of similar signal characteristics are noted in the supratentorial brain parenchyma, specifically in the right occipital region, left posterior parietal region and bilateral high parietal regions (near the central sulcus on the left side). Perilesional edema is also noted around these lesions, with sulcal space effacement.
There is mild dilatation of both the lateral and third ventricles.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study. Note is made of a right maxillary polyp.
Multiple, mass lesions in the supra and infratentorial brain parenchyma, bilaterally, as described, follow the signal characteristics of tuberculoma. There is mild obstructive hydrocephalus.
A contrast enhanced scan would be worthwhile. Contrast was not given for economic reasons.