Date : 00.00.00
Name of the Patient : Abc Xyz Hlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 7 years. On anti-epileptics.
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.
5 mm thick T1 Weighted sagittal images.
There is subcentimeter well-circumscribed lesion in the right temporal cortex laterally. This lesion has a small hyperintense centre and hypointense periphery on the proton and T2 Weighted images and is hypointense on the T1 Weighted images. No definite scolex can be identified on this study. No definite scolex can be identified on this study. There is surrounding white matter edema/gliosis (scans 102.5, 103.5, 104.5, 105.11, 106.5).
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.
Incidental note is made of bilateral maxillary sinusitis and inflammatory changes in the ethmoidal air cells.
The MRI features are suggestive of a granulomatous infective lesion in the right temporal cortex laterally follows the signal characteristics of cysticercus in the vesicular stage.
A follow up scan after treatment would be worthwhile.