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ke/bv/nl/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzh Haldlmn / M / 54 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O tingling on the left half of body for half an hour on 00.00.00.
Known hypertensive/diabetic.

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.

5 mm thick T1 Weighted sagittal images.

After administration of contrast, the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

5 mm thick T1 Weighted coronal and sagittal images.

MR venography was also performed.

OBSERVATION :

There is a large broad based extra-axial mass lesion in the left parafalcine high parietal region which measures approximately 2.0 x 4.2 x 3.1 cms. This lesion is isointense to grey matter on the T1 Weighted images and is heterogeneously hyperintense on the proton, T2 Weighted and FLAIR images. There is slight mass effect with compression upon the underlying brain parenchyma and surrounding edema. The superior sagittal sinus posteriorly is slightly displaced to the right and is not involved by the lesion, although it is in close proximity. There is mild perilesional edema.
..2/.






On administration of contrast, there is homogeneous enhancement of the lesion with a tail seen to extend anteriorly. The pial vessels are seen to surround this lesion.

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.

Incidental note is made of bilateral maxillary polyp.

IMPRESSION :

The MRI features are suggestive of an extra-axial mass lesion in the left parafalcine high parietal region measuring approximately 2.0 x 4.2 x 3.1 cms. and follows the signal characteristics of a meningioma.
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