Date : 00.00.00
Name of the Patient : Abc XyzMuklmn / M / 50 yrs.
Referred by : Dr. Abc Xyzvani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Known C/O Ca lung (stage IV) detected in september 0000. Received Chemotherapy (3 cycles) and Radiotherapy (25 sittings).
C/O left hemiplegia since 1 month.
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 Gradient coronal images.
5 mm thick T1 Weighted sagittal images.
There is a large well-circumscribed hypointense lesion measuring approximately 1.8 cms in diameter on the T1 Weighted images in the right fronto-parietal region. This lesion is seen to turn hyperintense on the proton, T2 Weighted and Gradient images. Few intermediate signal intensity areas are noted within this lesion on the T1 Weighted images and are seen to be heterogeneously hyperintense on the FLAIR images. There is a gross surrounding edema with effacement of the adjacent sulci and the right Sylvian fissure. Edema is also seen to encroach into the right external capsule and the posterior limb of the internal capsule on the right side. There is mild mass effect with compression upon the body of the right lateral and the third ventricles with slight shift of the midline structures to the left side.
There is prominence of the cerebellar folia.
- 2 - Scan-00004
The left lateral 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.
Incidental note is made of a right maxillary polyp.
In a known C/O Ca lung, the MRI features are suggestive of a
large lesion measuring approximately 1.8 cms in diameter in the right parietal region with mass effect and edema as described and this most likely represents a metastasis.