Date : 00.00.00
Name of the Patient : Abc Xyz Chlmn / F / 23 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with vomiting and slight weakness of the RUE and RLE since 00.00.00.
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.
There is still seen a fairly large mass lesion in the left cerebellar hemisphere, inferiorly. This lesion is iso to slightly hypointense to normal white matter on the T1 Weighted images and appears hypointense on the proton, T2 Weighted and FLAIR images. There is mild perilesional edema with effacement of the sulcal spaces in the left cerebellar hemisphere.
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.
The follow up MRI (as compared to the previous MRI dated 00.00.00, Scan No.00008) reveals slight decrease in the perilesional edema around the mass lesion in the left cerebellar hermisphere. There is hence, no indentation on the fourth ventricle. The size of the mass lesion is largely unchanged. The mass lesion follows the signal characteristics of a tuberculoma.