Date : 00.00.00
Name of the Patient : Abc Xyzi K. lmn / F / 48 yrs.
Referred by : Dr. Abc Xyzhtekar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O tingling sensation in the head with headaches, numbness on the left side of the face since 3 weeks.
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 STIR coronal images through orbits.
There is seen an intermediate signal intensity lesion on the T1 Weighted images in the left cavernous sinus. This lesion appears relatively hypointense on the STIR images. The lesion seems to be limited to the cavernous sinus. The visualized left orbital apex and left optic nerve is unremarkable. The cavernous segment of the left internal carotid artery shows normal flow void signal (scans 106.4 - 106.7, 105.4 - 105.7).
The visualized right cavernous sinus and right orbit are unremarkable.
There is no focal area of altered signal intensity within the brain parenchyma per se.
There is mild fullness of both the lateral ventricles. The 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.
Altered signal intensity lesion in the left cavernous sinus as described is not specific for a single etiology. This most likely is an inflammatory granuloma.
The possibility of a neoplasm seems less likely.
A contrast enhanced scan would be worthwhile.