Date : 00.00.00
Name of the Patient : Abc Xyza Hlmn / F / 37 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches with nausea, blackouts and gait ataxia.
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.
After administration of contrast the following parameters were used :
5 mm thick T1 Weighted axial and coronal images with magnetization transfer.
5 mm thick T1 Weighted sagittal images.
There is thickening of the gyri in the right frontal lobe just above the right Sylvian fissure. The grey matter and the underlying white matter appears hypointense on the T1 Weighted images and turns heterogeneously hyperintense on the proton, T2 Weighted and Flair images. There is minimal mass effect with slight effacement of the adjacent sulci.
After administration of contrast, very faint enhancement is seen in the posterior aspect of the lesion (se/im :106/13).
There is no other abnormal area of enhancement within the brain parenchyma or 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 bilateral maxillary sinusitis.
The MRI features are suggestive of a mass lesion in the right frontal lobe just above the right Sylvian fissure and most probably represents a neoplasm (glial cell tumor like a cortical astrocytoma should be considered).