Date : 00.00.00
Name of the Patient : Abc Xyzri Jailmn / M / 36 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures since 2-3 years.
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 and T2 Weighted coronal images.
4 mm thick FLAIR and Gradient coronal images.
5 mm thick T1 Weighted sagittal images.
There is a fairly large popcorn shaped, ill-defined, mass lesion in the medial aspect of the right temporal lobe involving the region of the hippocampus and the underlying collateral white matter and measures approximately 3.0 x 1.3 x 2.2 cms. This lesion is of mixed signal characteristics on the T1 Weighted images with few hyperintense areas. The lesion is heterogeneously hyperintense on the proton, T2 Weighted and Flair images with a hypointense periphery. The periphery of the lesion is seen to bloom on the Gradient echo images and would represent altered blood in different stages. The temporal horn on the right side is effaced.
There is mild prominence of the cerebellar folia bilaterally.
The left lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is no shift of the midline structures.
Incidental note is made of a retrocerebellar arachnoid pouch.
1. An occult vascular malformation in the medial aspect of the right temporal lobe as described.
2. Cerebellar atrophy.