Date : 00.00.00
Name of the Patient : Abc Xyz M. Tavlmn / F / 8 yrs.
Referred by : Dr. Abc Xyzal.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, vomiting, fever, gait imbalance and papilledema since 3 days.
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 and Fast Scan (T2 *) coronal images.
There is seen a well-marginated hypointense lesion on the proton and T2 Weighted images in the right cerebellar hemisphere. This lesion appears iso to slightly hypointense to normal white matter on the T1 Weighted images and blooms on the gradient images and measures approximately 2.5 x 1.7 x 2.2 cms in size. There is resultant perilesional edema with effacement of the cerebellar folia and cerebellar tonsillar herniation through the foramen magnum. The fourth ventricle is compressed and displaced slightly to the left of the midline.
There is resultant mild to moderate dilatation of both the lateral and the third ventricles with periventricular hyperintense signal on the proton and FLAIR images suggesting periventricular CSF ooze. Effacement of the cerebral cortical sulcal spaces is also noted. The perilesional edema in the right cerebellar hemisphere is also seen to extend into the left cerebellar hemisphere.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
An approximately 2.5 x 1.7 x 2.2 cms sized mass lesion in the right cerebellar hemisphere as described follows the signal characteristics of a tuberculoma. There is mild to moderate obstructive hydrocephalus with periventricular CSF ooze.