Date : 00.00.00
Name of the Patient : Abc Xyz Kotlmn / F / 26 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left eye vision loss in March 0000.
Now C/O pain in the left hemicranium and left eye since 1 week.
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 T1 Weighted and STIR coronal images.
3 mm thick T1 Weighted oblique sagittal images through left orbit.
There is no focal area of altered signal intensity in the brain parenchyma.
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.
Study of the orbits reveals no focal area of altered signal in the visualized orbits or the orbital apex on either side. The optic nerves show normal signal on either side. The cavernous sinuses, sella and suprasellar cisterns are unremarkable.
Inflammatory tissue is noted in the region of the right osteomeatal complex, with hypertrophied inferior nasal turbinates, bilaterally.
1. No abnormality is detected in the brain parenchyma per se.
2. Visualized orbits and optic nerves are unremarkable.
3. Inflammatory tissue in the right osteomeatal complex with hypertrophied inferior nasal turbinates.
If clinically indicated, a contrast enhanced scan would be worthwhile.