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hs/ke/nl/nl

Name of the Patient : Abc Xyzh Blmn / M / 28 yrs.
Referred by : Dr. Abc Xyzagwati.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O single episode of abnormal movements of body with fall on 00.00.0000.
H/O similar complaint in November 0000.

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 are atleast two subcentimeter sized well circumscribed lesions within the left parietal lobe. These are iso to hyperintense to CSF with a rim which is near isointense to white matter on all the pulse sequences. One of these lesions has an eccentric speck which is near isointense to white matter within it and this may represent the scolex of the lesion.

Areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton and T2 Weighted images are seen adjacent to these lesions and would represent perilesional edema. There is effacement of the adjacent cerebral sulci.

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.

IMPRESSION :

The MRI features are suggestive of atleast two subcentimeter sized well circumscribed lesions within the left parietal lobe as described. These most likely represent granulomas like cysticerci.
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