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ke/bv/rg.
Date : 00.00.00

Name of the Patient : Abc Xyzati Blmn / F / 50 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O headaches (on & off) since 6 months and fever since 10 days.
Known hypertensive.
Detected as a C/O TBM (3 days back).

EXAMINATION :

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 T2 Weighted and Gradient coronal images.

OBSERVATION :

There is a subtle hyperintense signal, well-appreciated on the FLAIR images (se/im 105/2) in the right posterior parieto-occipital region. This is isointense to the white matter on the T1 Weighted images and hyperintense on the proton and T2 Weighted images (scans 102.12, 103.12).

There is mild fullness of both the lateral ventricles. The third and the fourth ventricles are normal. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
..2/.












- 2 - Scan-00009


IMPRESSION :

The MRI features are suggestive of :

1. Altered signal in the right posterior parieto-occipital region may represent an evolving granuloma.

It is difficult to characterize the type of granuloma.
2. Cerebral and cerebellar atrophy.

A contrast enhanced scan would be worthwhile.

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