Name of the Patient : Abc Xyzan Kelamblmn / M / 27 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
3 mm thick T2 Weighted and Fast Scan (T2 *) and 5 mm thick FLAIR coronal images.
There are very small, focal, hypointense lesions on all the pulse sequences better appreciated on the proton, T2 Weighted and Fast Scan (T2 *) images in the right parieto-occipital cortex, left posterior parietal cortex and in the left frontal cortex. Perilesional white matter hyperintense signal on the proton, T2 Weighted and Flair images is noted around the lesion in the right parieto-occipital region, which most likely represents perilesional edema. No perilesional edema is noted around the lesions in the left cerebral hemisphere.
There is prominence of the cerebellar folia bilaterally with mild fullness of the fourth ventricle.
Both the 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.
- 2 - Scan-00005
Focal hypointense lesions on all the pulse sequences in the right parieto-occipital cortex, left posterior parietal cortex and in the left frontal cortex most likely represents calcified granulomas. Perilesional edema around the lesion in the right parieto-occipital region may also represent a granuloma (?
A contrast enhanced scan would be worthwhile.