ke/bv/nl/rg
Date : 00.00.00
Name of the Patient : Abc Xyzlmn / M / 3 1/2 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
H/O sudden onset of weakness of the LLE with single episode of convulsion on 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 and T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a subcentimeter lesion in the right posterior parietal region which is iso to hypointense to white matter on the T1 Weighted images. This is seen to turn hyperintense on the proton and T2 Weighted images with a peripheral hypointense rim. There is surrounding white matter edema with slight effacement of the adjacent sulci. A central hypointense eccentric speck is identified on the T2 Weighted images which is suspicious for a scolex.
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 enlarged adenoids.
..2/.
- 2 - Scan-00005
IMPRESSION :
The MRI features are suggestive of a granulomatous infective process in the right posterior parietal region with signal characteristics as described and most likely represents a cysticercus in the vesicular stage.
A contrast enhanced scan /follow up scan would be worthwhile.