Name of the Patient : Abc Xyza lmn / F / 32 yrs.
Referred by : Dr. Abc Xyzndesha.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O headaches since 15 days with vomiting and fever since 2 days.
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 and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
There are multiple well-circumscribed hypointense lesions on the proton and T2 Weighted images within both cerebral and cerebellar hemispheres and head of the left caudate nucleus. Some of the lesions have hyperintense rim on the proton, T2 Weighted and FLAIR images and a hyperintense central speck on the FLAIR images.
Adjacent to these lesions are areas of hypointensity on the T1 Weighted images which turn hyperintense on the proton, T2 Weighted and FLAIR images and would represent perilesional edema. There is mild indentation upon the frontal horn of the left lateral ventricle and upon the right lateral aspect of the fourth ventricle.
The right lateral and the third 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.
The MRI features are suggestive of multiple areas of altered signal within both cerebral and cerebellar hemispheres and head of the left caudate nucleus and follows the signal characteristics of granulomas, probably tuberculomas (less likely to be cysticercosis).