Date : 00.00.00
Name of the Patient : Abc Xyznt Bhlmn / M / 57 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain
CLINICAL PROFILE :
H/O fever (on & off) since 1 1/2 months.
C/O altered behaviour with bladder/bowel incontinence since 00.00.00.
Known diabetic/hypertensive. On Rx.
A contrast enhanced scan of the brain was obtained using the following parameters :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted coronal images.
There is a large rim enhancing lesion measuring approximately 4.5 x 4.2 x 4.2 cms in the left frontal lobe. Few areas of internal enhancement are also seen.
Smaller, similar enhancing lesions are seen in the left frontal lobe, just superior to the left Sylvian fissure, in the right posterior parietal lobe and in the right occipital, subcortical white matter.
The MRI features are suggestive of multiple rim enhancing lesions as described within the left frontal lobe and in the left frontal lobe, just superior to the left Sylvian fissure, in the right posterior parietal lobe and in the right occipital, subcortical white matter and these are not specific for a single etiology. The differential diagnosis would include,
1. Intracerebral abscesses (? tuberculomas).
2. Neoplasia like multicentric glioma.