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ke/bv/nl/rg.

Name of the Patient : Abc Xyz Prajalmn / M / 24 yrs.
Referred by : Dr. Abc Xyzisheri.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O diplopia and gait imbalance since 6-7 days.

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.

OBSERVATION :

There is a small hypointense area in the right anterior temporal pole on the T1 Weighted images which is seen to remain so on the proton and T2 Weighted images. There is surrounding edema with slight mass effect and effacement of the adjacent sulci.

The optic nerves show normal signal intensity on the STIR images bilaterally. The cavernous sinuses are 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.

Incidental note is made of inflammatory changes in the left maxillary sinus, sphenoidal sinus and the frontal sinus.

IMPRESSION :

The MRI features are suggestive of altered signal in the right anterior temporal pole with surrounding edema and slight mass effect as described is not specific for a single etiology, probably a granuloma.

A contrast enhanced scan would be worth while.

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