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sb/bv/rg/nl

Name of the Patient : Abc Xyzta Adlmn / F / 16 yrs.
Referred by : Dr. Abc Xyzah.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Alleged H/O RTA with head injury 6-8 years ago.
C/O seizures since the age of 10 years.

EXAMINATION :

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 T1 Weighted and T2 Weighted coronal images.

OBSERVATION :

There is volume loss in the left temporal lobe. There is an extra-axial, CSF signal intensity lesion on all the pulse sequences in the left temporal region. A small bright focus on the proton and T2 Weighted images in the left insular cortex may be partial volume averaging with the extra-axial lesion in the left temporal region.

The hippocampal complex on either side is 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.

Note is made of enlarged adenoids.

IMPRESSION :

1. Volume loss in the left temporal lobe most likely is the sequelae of previous head trauma and probable contusion.

2. CSF signal intensity lesion in the extra-axial space in the
left temporal region may be the sequelae of volume loss of the left temporal lobe or may represent an arachnoid cyst.


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