ke/bv/nl/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Mazgaolmn / F / 38 yrs.
Referred by : Dr. Abc Xyzhatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O fever, loose motions and vomiting since 1 month.
C/O sudden onset of disorientation since 1 day.
Patient is HIV +ve.

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.

OBSERVATION :

There are hypointense areas on the T1 Weighted images in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, thalamus and both parietal regions. These are seen to remain hypointense on the proton, T2 Weighted and FLAIR images. There is surrounding edema with mass effect and effacement of the adjacent sulci. Edema is also seen to encroach into the anterior limb and the genu of the internal capsule bilaterally. There is compression upon the frontal horn and body of the left lateral ventricle with shift of the midline structures to the left.

There is slight prominence of the cerebellar folia bilaterally.











The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

Incidental note is made of inflammatory changes in the sphenoid sinus.

IMPRESSION :

The MRI features are suggestive of altered signal in the right frontal region, left lentiform nucleus, right paraventricular region, left temporal region, in the posterior high parietal region bilaterally and the left thalamus with mass effect and edema and these may represent a granulomatous infective process like tuberculosis/toxoplasmosis.