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hs/ke/nl/rg.

Name of the Patient : Abc Xyzer Plmn / M / 85 yrs.
Referred by : Dr. Abc Xyzlkaka.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O mild weakness of the right half of the body with slurred speech.

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 and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

After administration of contrast the following parameters were used :

5 mm thick T1 Weighted axial and coronal images with magnetization transfer.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of an irregularly defined space-occupying lesion which is hyperintense on the proton, T2 Weighted and FLAIR images within the left fronto-temporo-parietal lobes. This lesion is seen to involve the genu of the corpus callosum and extend into the right frontal lobe. There is evidence of a fairly well-defined area of hyperintensity with a hypointense rim on the proton and T2 Weighted images within this lesion. It shows fairly intense enhancement, especially at its periphery. It is seen to measure approximately 3.1 x 2.8 x 2.5 cms. Few areas of subtle enhancement are seen adjacent to this lesion.


This lesion is seen to extend into the left basal ganglia with compression upon the left lateral and third ventricles with a shift of the midline to the right.

Hyperintense foci on the proton, T2 Weighted and FLAIR images are seen within the periatrial white matter on the right side and may represent ischemic changes.

There is mild fullness of the right lateral ventricle. The fourth ventricle is normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.

IMPRESSION :

The MRI features are suggestive of a space-occupying lesion within the left cerebral hemisphere as described. This most likely represents a neoplastic process like a glial cell tumor (eg. glioblastoma or lymphoma).
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