Date : 00.00.00
Name of the Patient : Abc Xyznt Bhlmn / M / 53 yrs.
Referred by : Dr. Abc Xyzmani.
Examination : M.R.I. - Brain (Post-contrast Study).
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
5 mm thick FLAIR coronal images were obtained prior to contrast administration.
After administration of contrast, there are very small, disc and rim enhancing lesions in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region, the left parietal, parafalcine region and in the right frontal cortex.
There is mild fullness of both the lateral and third ventricles. The fourth ventricle is normal.
There is no obvious meningeal enhancement noted.
Inflammatory changes are noted in the left maxillary antrum.
Very small, disc and rim enhancing lesions (approximately 7.0 mms in diameter) in the subcortical white matter in the right posterior parietal and parietal region, right high parietal, parafalcine region, the left parietal, parafalcine region and in the right high frontal cortex as described, are not specific for a single etiology. These lesions most likely represent granulomas, probably cysticerci. The possibility of metastases, though less likely cannot be entirely excluded.