Date : 00.00.00
Name of the Patient : Abc Xyz Kilmn / M / 21 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with neckpain and vomiting since 00.00.00.
H/O right sided pleural effusion. Received AKT.
(? spinal surgery for tumor, surgical details not available).
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.
3 mm thick STIR coronal images through the optic nerves.
There is no focal area of altered signal intensity in the brain parenchyma.
There is probable thickening of the meninges overlying the right cerebral hemisphere, more so in the fronto-parietal region (scans 104.12 to 104.18). Subtle sulcal space effacement is noted in the right cerebral convexity.
There is mild asymmetric dilatation of the left lateral ventricle as compared to the right. The right lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is mild bulge of the midline structures to the right. No obvious vascular anomaly is identified on this study.
The optic nerves on either side appear normal in course and characteristics.
1. Probable thickening of the meninges over the right cerebral convexity, as described, may suggest a meningeal pathology.
2. Mild dilatation of the left lateral ventricle is ? a normal variant, ?? obstruction at the level of the foramen of Monroe.
A contrast enhanced scan would be worthwhile.