Name of the Patient : Abc XyzKallaplmn / F / 25 yrs.
Referred by : Dr. Abc Xyzzare.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O seizures on 00.00.0000.
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
4 mm thick FLAIR coronal images.
3 mm thick T1 Weighted coronal images.
There is slight thickening of the grey matter in the left temporal lobe laterally in the infra-Sylvian region. This lesion appears hypointense to the normal grey matter on the T1 Weighted images and turns hyperintense on the proton, T2 Weighted and Flair images (se/im:102/10, 103/10, 105/13, 14).
The hippocampal complex on either side is unremarkable.
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.
The MRI features are suggestive of altered signal intensity in cortex in the left temporal lobe, laterally which is not specific for a single etiology. The possibilities to be considered are :
1. Venous infarct (in view of the H/O of pregnancy).
2. A cortical neoplasm or a granuloma seem less likely.
A contrast enhanced scan would be worthwhile, if clinically indicated.