Date : 00.00.00 Name of the Patient : Abc XyzJlmn / F / 27 yrs.Referred by : Dr. Abc Xyzdar.Examination :.R.I. of the Brain.CLINICAL PROFILE :
Known C/O intracranial tuberculoma since 00.00.00. On AKT since then. For follow-up.EXAMINATION :M.R.I. of the brain was performed using the following parameters:
5 mm thick T1 Weighted, Proton and T2 Weighted axial images.3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
There is still seen an approximately 1.9 x 1.6 x 2.1 cms sized well-defined iso to hypointense mass lesion on the T1 Weighted images in the left parieto-occipital, parafalcine region. This lesion appears significantly hypointense on the proton and T2 Weighted images with central hyperintense signal. There is mild to moderate perilesional edema with effacement of the sulcal spaces and anterior displacement of the atrium and occipital horn of the left lateral ventricle, which appears slightly effaced. Edema is also noted within the splenium of the corpus callosum on the left side. Multiple, small, satellite lesions are noted along the postero-superior margin of the lesion.
The right 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 sinus.
IMPRESSION :An approximately 1.9 x 1.6 x 2.1 cms sized mass lesion in the left parieto-occipital, parafalcine region as described follows the signal characteristics of a tuberculoma. Multiple, small, satellite lesions are noted along the postero-superior margin of the lesion.
As compared to the previous MRI dated 00.00.00 (scan no:00000), the lesion shows necrotic changes, centrally. Multiple small, satellite lesions are noted along the postero-superior margin of the lesion. There is increase in the perilesional edema.
A contrast enhanced scan may be worthwhile.