Date : 00.00.00
Name of the Patient : Abc Xyz D. Palmn / M / 25 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches and tremors of BUE and BLE since 2 years.
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.
MR cisternogram in the coronal plane through the region of interest.
5 mm thick T1 Weighted sagittal images.
There is a well-defined mass lesion in the right parieto-occipital region just lateral to the occipital horn of the right lateral ventricle. This lesion is predominantly hypointense on the T1 Weighted images with few intermediate signal intensity areas in the right lateral and posterior aspect of the lesion. This lesion is seen to turn hyperintense on the proton and T2 Weighted images with the intermediate signal portion turning hypointense on the proton and T2 Weighted images and hyperintense on the FLAIR images. There is no mass effect or perilesional edema. The lesion measures approximately 2.0 x 2.1 x 2.0 cms.
The left 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.
The MRI features are suggestive of a mass lesion in the right parieto-occipital region just lateral to the occipital horn of the right lateral ventricle measuring approximately 2.0 x 2.1 x 2.0 cms. The differential diagnosis would include :
2. Demyelinating plaque - less likely.
A contrast enhanced scan would be worthwhile.