Date : 00.00.00
Name of the Patient : Abc Xyzrmal lmn / M / 37 yrs.
Referred by : Dr. Abc Xyzhru / Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O right sided headaches.
C/O watering of the right eye.
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.
MR cisternogram was obtained in the coronal plane.
A limited MR angio sequence is obtained through the fifth nerve and the seventh and eighth cranial nerve complex.
There is seen a small, approximately 0.9 x 0.8 cm sized well marginated, intermediate signal intensity lesion on the T1 Weighted images in the sulcal space in the left posterior temporal region (scan 104.12). This lesion appears hyperintense on the proton, T2 Weighted and Flair images. There is no perilesional edema.
There is no obvious vascular loop identified at the root exit zone of the seventh and eighth cranial nerve complex or at the root entry zone of the trigeminal nerves on either side.
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.
Inflammatory changes are noted in the ethmoidal air cells bilaterally.
An approximately 0.9 x 0.8 cms sized lesion in the sulcal space in the left posterior temporal region as described is not specific for a single diagnosis. A thrombosed aneursym may be considered as a differential diagnosis.
The possibility of an inflammatory/neoplastic process seems less likely.