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Date : 00.00.00

Name of the Patient : Abc Xyz Chlmn / M / 19 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 00.00.00.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

3 mm thick T1 Weighted coronal images.

5 mm thick FLAIR coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial images with magnetization transfer.

3 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a conglomeration of lesions in the left posterior parietal region involving the gray matter. The predominent portion of this lesion is hypointense on the T1 Weighted images and follows CSF signal intensity on all the pulse sequences. An eccentric hyperintense speck is seen within the posterior aspect of the lesion on the T1 Weighted images and turns hypointense on the T2 Weighted images and represents a scolex. There is surrounding edema with slight mass effect and effacement of the adjacent sulci.
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- 2 - Scan-00005


On administration of contrast, there is peripheral enhancement of the entire conglomerate lesion which measures approximately
1.7 x 1.2 x 1.0 cms. A small ring enhancing lesion is seen in the medial aspect of this conglomerate.

There is no other area of abnormal enhancement in the brain parenchyma or along the meninges.

Both the 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.

Incidental note is made of right maxillary sinusitis.

IMPRESSION :

The MRI features are suggestive of an infective lesion in the left posterior parietal region following the signal characteristics of cysticercii in the colloid vesicular stage.

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