sb/ke/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyz lmn / F / 53 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. - Brain (Post-contrast Study).

CLINICAL PROFILE :

C/O headaches.
Known hypertensive/diabetic.

EXAMINATION :

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and sagittal images with magnetization transfer.

3 mm thick T1 Weighted coronal and axial (with fat saturation) sagittal images.

OBSERVATION :

After administration of contrast, there is patchy enhancement in the right posterior parietal cortex and in the right precentral gyrus. These lesions represent enhancing infarcts (on comparison with previous MRIs dated 00.00.00 and 00.00.00).

The right cavernous sinus appears slightly bulkier as compared to the left. However it shows uniform enhancement. No focal mass lesion in noted in the region of the right cavernous sinus. Patchy enhancement of the intraluminal thrombus is noted in the petrous and cavernous segments of the right internal carotid artery.

No abnormal enhancement is noted in the visualized orbits or the meninges on either side.





Enhancement of the inflammatory mucosa is noted in the sphenoid sinuses on either side.

IMPRESSION :

1. An enhancing infarct in the right posterior parietal cortex and in the right precentral gyrus.

2. Enhancement of the intraluminal thrombus in the petrous and cavernous segments of the right internal carotid artery.

3. Inflammatory changes in the sphenoid sinus bilaterally.

A follow up scan of the cavernous sinus/pituitary region is recommended.