Date : 00.00.00
Name of the Patient : Abc Xyzao Shlmn / M / 48 yrs.
Referred by : Dr. Abc Xyzorude.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided) and pain in the left ear since 1 1/2 months.
Known diabetic. On Rx.
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.
5 mm thick T1 Weighted sagittal images.
There is no focal area of altered signal intensity in the brain parenchyma.
Both the lateral, third and the fourth ventricles are normal. Note is made of cavum septum pellucidum and cavum septum vergae. The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
There are hyperintense areas in the medial and lateral pterygoid muscles on the left side on the proton, T2 Weighted and FLAIR images. This is slightly hyperintense to the normal muscles on the T1 Weighted images. The facial planes are not well-visualized.
Incidental note is made of inflammatory changes in the sphenoid sinus, ethmoidal air cells and left mastoid air cells.
1. Altered signal in the medial and lateral pterygoid muscles on the left side is not specific for a single etiology. This most probably is inflammatory in etiology and requires further evaluation.
2. Left mastoiditis and inflammation of the sphenoid and ethmoidal air cells.