Date : 00.00.00
Name of the Patient : Abc Xyzar H. Shlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (left sided), seizures and giddiness since 00.00.00.
H/O similar complaints 1 year back.
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 T2 Weighted coronal images.
There is evidence of a well-circumscribed lesion having a diameter of approximately 1.1 cms and located in the cortex in the left temporal region. This lesion is hyperintense to CSF on all the pulse sequences with an eccentric speck which is isointense to white matter suggestive of a scolex within it. The periphery of this lesion is near isointense to white matter on the proton and T2 Weighted images. There is perilesional edema (hypointense on the T1 Weighted images and hyperintense on the proton and T2 Weighted images) with effacement of the adjacent cerebral cortical sulci.
There is another smaller lesion within the posterior temporal lobe on the left side which is hypointense on the proton and T2 Weighted images.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. Also seen is mild fullness of both the lateral ventricles.
The 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 MRI features are suggestive of a lesion within the left temporal region following the signal characteristics of a cysticercus in the colloid-vesicular stage. Another smaller lesion in the posterior temporal region on the left may represent a cysticercus in the granular-nodular stage.