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sb/bv/rg.

Name of the Patient : Abc Xyzlmn / M / 25 yrs.
Referred by : Dr. Abc Xyzngsarkar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O intracranial tuberculomas detected in June 0000. Received AKT for 6 months.
For follow up.

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.
5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is seen a fairly large, approximately 2.5 x 2.5 x 2.2 cms sized mass lesion in the left cerebellar hemisphere, laterally and inferiorly. This lesion is iso to slightly hyperintense to the normal white matter on the T1 Weighted images and appears significantly hypointense on the proton, T2 Weighted and FLAIR images. Mild perilesional edema is noted. There is decrease in the mass effect upon the acqueduct and the fourth ventricle as compared to the previous MRI.

There are very small, hyperintense foci on the proton and T2 Weighted images in the right occipital pole (scan 102.10, 103.10). This lesion appears isointense on the T1 Weighted images.

Both the lateral, third and the fourth ventricles are normal. The basal cisternal spaces are unremarkable. There is slight prominence of the cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Inflammatory changes are noted in the maxillary sinus bilaterally and in the left mastoid air cells/left middle ear cavity.
..2/.



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IMPRESSION :

1. An approximately 2.5 x 2.5 x 2.2 cms sized mass lesion in the left cerebellar hemisphere, laterally and inferiorly follows the signal characteristics of a tuberculoma.

2. Very small, focal lesion at the right occipital pole may represent a resolving granuloma.

As compared to the previous MRI dated 00.00.0000, there is reduction in the size of the lesion and the perilesional edema in the left cerebellar hemisphere. The lesion at the right occipital pole has also significantly regressed in sized. There is decrease in size of the lateral and third ventricles.

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