sb/hs/rg/nl
Date : 00.00.00
Name of the Patient : Abc Xyz. Malalmn / F / 17 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches, vomiting and fever since 5 days.
H/O intracranial tuberculoma in 0000. Has received AKT.
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 coronal images.
OBSERVATION :
There is seen slight volume loss in the right posterior parietal region with a CSF signal intensity lesion on all pulse sequences in the subcortical white matter in that region (scans 104.16-17, 102.16-17, 108.7 & 106.3). These changes may be a sequelae of the previous granuloma.
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.
IMPRESSION :
Slight volume loss in the right posterior parietal region with a CSF signal intensity lesion in the subcortical white matter in that region may be a sequelae of the previous granuloma.
No other significant abnormality is detected on this study.
If an intracranial tuberculoma/meningitis is strongly suspected, a contrast enhanced scan would be worthwhile.