sb/ke/nl/rg.
Name of the Patient : Abc Xyzh Yezdeglmn / M / 41 yrs.
Referred by : Dr. Abc Xyzrani.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
Alleged H/O vehicular accident in December 0000 with injury to head.
C/O headaches, giddiness and diplopia on the left side since then.
EXAMINATION :
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.
3 mm thick STIR coronal images through the optic nerves.
OBSERVATION :
There is no focal area of altered signal intensity in the brain parenchyma.
There is mild fullness of both the lateral ventricles. The third and fourth ventricles are normal. There is slight prominence of the cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
The visualized optic nerves show normal signal on either side.
A suspicious focal, subcentimeter, hyperintense lesion on the STIR images is noted in the pituitary gland, to the left of the midline, ?? pituitary microadenoma (scan 106.4).
IMPRESSION :
1. Slight fullness of both the lateral ventricles.
2. Slight prominence of the cerebellar folia bilaterally.
3. ?? subcentimeter, pituitary microadenoma in the left half of the pituitary gland. A detail contrast enhanced study would be worthwhile if clinically indicated.
As compared to the previous CT Scan dated 00.00.00, there seems to be slight fullness of both the lateral ventricles on the present study.