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Name of the Patient : Abc Xyzrakash Bolmn / M / 21 yrs.
Referred by : Dr. Abc Xyzmat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 5 years.
H/O fall on 00.00.0000.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

5 mm thick FLAIR coronal images.

3 mm thick T2 Weighted coronal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is a wedge-shaped area in the right frontal region which is hypointense to the normal gray matter on the T1 Weighted images and turns heterogeneously hyperintense on the proton and T2 Weighted images. Few hyperintense areas are seen within this lesion on the T1 Weighted images which turn hypointense on the T2 Weighted images and may represent calcification/altered blood. On administration of contrast, there is faint enhancement of the lesion on the delayed scans. There is no perilesional edema.
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- 2 - Scan-00006


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.

After contrast administration, there is no other area of abnormal enhancement in the brain parenchyma or along the meninges on this study.

Incidental note is made of a left maxillary polyp.

IMPRESSION :

The MRI features are suggestive of a wedge-shaped lesion in the right frontal region with enhancemnet pattern and signal characteristics as described. This is not specific for a single etiology.

The possibilities to be considered are,

1. Cryptic AVM.

2. Remote possibility of a glial cell tumor (oligodendroglioma)

There is no significant change in the size of the lesion since the previous CT Scan dated 00.00.0000.
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