Date : 00.00.00
Name of the Patient : Abc Xyzsh Shanlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O neurocysticercosis.
For follow up.
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 coronal images.
3 mm thick T2 Weighted coronal images through the region of interest.
There is still seen a small, well marginated approximately 8.0 mms sized hyperintense lesion with a hypointense rim on the T2 Weighted images in the subcortical white matter in the left high parietal region, best appreciated on the thin sections coronal images (scan 106.7). This lesion is not well identified on the T1 Weighted images, but follows CSF signal on the FLAIR images (scan 105.10). There is minimal perilesional edema.
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.
Inflammatory changes are noted in the ethmoidal air cells and maxillary sinuses bilaterally.
An approximately 8.0 mms diameter sized lesion in the subcortical white matter in the left high parietal region follows the signal characteristics of a cysticercus.
As compared to the previous MRI dated 00.00.00 (scan no:00005), there is decrease in the size of the lesion and the perilesional edema.