Date : 00.00.00
Name of the Patient : Abc Xyz Ponlmn / F / 56 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches (on the left side).
H/O being operated for meningioma on 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.
5 mm thick T1 Weighted sagittal images.
There is evidence of left frontal craniotomy with post-operative changes.
There are hypointense areas on T1 Weighted images in the left frontal region which are seen to follow CSF signal characteristics on all the pulse sequences. Hyperintense areas on the proton, T2 Weighted and FLIAR images at the periphery of this lesion would represent gliosis and the lesion would represent an area of cystic encephalomalacia, the result of previous surgery. No residual tumor is visualized on this study. Hyperintense areas are also seen on the FLAIR images in the right inferior frontal lobe, which would represent gliosis, the result of surgery.
There 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 :
1. Post-operative status.
2. An area of cystic encephalomalacia in the left frontal region and an area of gliosis in the right frontal region.