Date : 00.00.00
Name of the Patient : Abc Xyzraya Purlmn / M / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O 2 episodes of seizures on 00.00.00.
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 T1 Weighted and T2 Weighted coronal images.
There is seen a small, approximately 1.0 x 0.8 x 0.6 cms sized well marginated, hypointense lesion on the proton and T2 Weighted images in the subcortical white matter in the left high fronto-parietal region. This lesion appears iso to slightly hypointense to normal white matter on the T1 Weighted images and may be a conglomeration of multiple lesions. There is perilesional edema and slight effacement of the sulcal spaces in that region.
There is mild fullness of both the lateral ventricles. Flow artifact is seen in the left lateral ventricle. The 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.
Note is made of enlarged adenoids.
An approximately 1.0 x 0.8 x 0.6 cms sized well marginated, lesion in the subcortical white matter in the left high fronto-parietal region most likely represents a granuloma.
However it is difficult to characterize the type of granuloma - ? cysticercus ? tuberculoma.
A follow up study/contrast may be worthwhile.