sb/ke/nl/rg.

Name of the Patient : Abc Xyzaiglmn / F / 27 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O oligodendroglioma.
H/O left frontal craniotomy on 00.00.00.
C/O Occasional seizures.
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.

OBSERVATION :

There is evidence of a left high fronto-parietal craniotomy.

There is still seen a mass lesion in the left high fronto-parietal region. This lesion is mildly hypointense with few hyperintense areas within it on the T1 Weighted images. This is seen to turn hyperintense on the proton, T2 Weighted and FLAIR images. A small cystic/necrotic component is seen on the FLAIR images, which may be the sequelae of previous surgery. There is mild effacement of the adjacent cortical sulci. The adjacent gyri appear thick and are hypointense to normal grey matter on the T1 Weighted images and turn hyperintense on the proton, T2 Weighted and FLAIR images.







- 2 - Scan-00009


A lacune is noted in the right occipital lobe and in the left posterior parietal region (scans 105.8 and 12).

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.

IMPRESSION :

In a known C/O oligodendroglioma, the MRI features are suggestive of :

1. Post-operative status.

2. Residual lesion in the left high fronto-parietal lobe as described.

As compared to the previous MRI (study no:00007) dated:00.00.00 there is no significant change noted.