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sb/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzi Slmn / M / 20 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O TBM. On AKT. Now C/O headaches and fever.
Also C/O backache with paresthesias in BLE since 15 days.

EXAMINATION :

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.

OBSERVATION :

There is a hyperintense signal located within the left occipital cortex on the FLAIR images (scan 105.5) with a hypointense centre. This signal is not well-appreciated on the T2 Weighted, proton density and T1 Weighted images.

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 right maxillary antrum.

IMPRESSION :

Bright signal in the left occipital cortex on the FLAIR images is not specific for a single etiology.

This may represent an evolving granuloma or may represent ischemic changes, the result of vasculitis.

A contrast enhanced scan may be worthwhile.
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