hs/sb/rg/nl

Name of the Patient : Abc XyzYlmn / F / 24 yrs.
Referred by : Dr. Abc Xyzatt.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O Patient has amenorrhea since 33-34 years.
C/O 2 episodes of seizures.

EXAMINATION :

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 3 mm thick T2 Weighted coronal images.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of an irregularly defined lesion having a diameter of approximately 1.8 cms in the right posterior parietal region. This lesion exhibits mixed signal characteristics (hypointense as well as hyperintense areas) on the proton, T2 Weighted and FLAIR images and is ill-defined on the T1 Weighted images.

Perilesional edema is noted with effacement of the adjacent cerebral cortical sulci and indentation upon the occipital horn and atrium of the right lateral ventricle.

The left 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.

IMPRESSION :

The MRI features are suggestive of an approximately 1.8 cms sized lesion in the right posterior parietal region. This may represent a granuloma (? tuberculoma).