Name of the Patient : Abc Xyz Bhlmn / M / 16 mnths.
Referred by : Dr. Abc Xyzmpat / Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O left sided 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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
There is seen a well marginated, hypointense lesion on the T1 Weighted images in the right corona radiata. This lesion is slightly hyperintense to CSF on all the pulse sequences. There is no perilesional edema. A linear, isointense (compared to normal white matter) signal on all the pulse sequences within the above described lesion represent a blood vessel (? partial volumning with normal brain tissue).
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.
Altered signal intensity lesion in the right corona radiata as described, most likely represents gliotic/encephalomalacic changes, (the sequelae of a previous vascular insult, ?? vascular malformation).
The possibility of this lesion representing a granuloma is less likely.
A follow-up scan may be worthwhile (with contrast administration).