Date : 00.00.00
Name of the Patient : Abc Xyzm lmn / M / 8 yrs.
Referred by : Dr. Abc Xyzvadekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O fall with 2 episodes of seizures and gait imbalance since then.
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 FLAIR coronal images.
The cervical spine was scanned with 4 mm thick T2 Weighted sagittal images and 5 mm thick T1 Weighted and Fast Scan (T2 *) axial images.
There is no focal area of altered signal intensity in the brain
The hippocampal complex on either side is unremarkable.
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.
Note is made of enlarged adenoids.
There is evidence of a well-circumscribed lesion which is hypointense on the T1 Weighted, T2 Weighted, Fast Scan (T2 *) and FLAIR images with a hyperintense rim on the T2 Weighted, Fast Scan (T2 *) and FLAIR images within the spinal cord at the C1/C2 level.
1. No abnormality detected within the brain per se on this study.
2. A space occupying lesion within the spinal cord at the C1/C2 level and having a diameter of approximately 1.0 cms.
In the given clinical setting this represents a haemorrhagic contusion.
However granulomas may have similar appearances on MRI.