Date : 00.00.00
Name of the Patient : Abc Xyzhikulmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 2 1/2 years.
Alleged H/O fall from a height with injury to head 3 years back.
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.
There is seen an approximately 4.0 mms diameter sized, well-defined hypointense lesion best appreciated on the proton and T2 Weighted images in the left high fronto-parietal cortex (scans 102.18, 103.18), This lesion is not well identified on the T1 Weighted images. There is no perilesional edema.
A 5.0 mms diameter sized lesion which is mildly hyperintense with a hypointense rim on the proton, T2 Weighted and FLAIR images is seen in the right temporal cortex (scans 106/10, 103/6, 105/8, 102/8).
An ill-defined hypointense signal on the T1 Weighted images is noted in the left frontal cortex (scans 104.15). This lesion follows CSF signal and represents an area of cystic encephalomalacia.
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.
1. An approximately 4.0 mms diameter sized, focal lesion in the left high fronto-parietal cortex most likely represents a calcified granuloma.
2. An approximately 5.0 mms diameter sized, focal lesion in the right temporal cortex may represent a granuloma (? calcified).
3. Altered signal in the left frontal cortex represents an area of cystic encephalomalacia.