Date : 00.00.00
Name of the Patient : Abc Xyzakant Halmn / M / 40 yrs.
Referred by : Dr. Abc Xyzidhungat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O fever with swelling over the right maxillary region extending to the right eye since 2 days.
Patient is HIV +ve.
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.
5 mm thick T1 Weighted sagittal images.
3 mm thick T1 Weighted and STIR coronal images.
There are lacunar infarcts (isointense to CSF on all the pulse sequences) in the left lentiform nucleus.
There is mild dilatation of both the lateral and the third ventricles. The fourth ventricle is normal. There is slight prominence of the cerebral cortical sulci bilaterally. 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 inflammatory changes within the sphenoid sinus extending into the ethmoidal air cells and right maxillary antrum. Inflammatory changes are also noted in the mastoid air cells bilaterally.
The visualized orbits and optic nerves are unremarkable on either side. Ill-defined, hyperintense signal on the T2 Weighted and STIR images in the soft tissues in the right temporal region and right periorbital region would represent inflammatory changes.
1. Mild cerebral atrophy.
2. Inflammatory changes within the sphenoid sinus extending into the ethmoidal air cells, maxillary sinuses and in the mastoid air cells bilaterally.
3. Altered signal in the soft tissues in the right temporal region and right periorbital region would represent inflammatory changes.