Name of the Patient : Abc XyzAlballmn / M / 32 yrs.
Referred by : Dr. Abc Xyz. Sadikot.
Examination : M.R.I. of the Brain & Paranasal Sinuses.
CLINICAL PROFILE :
C/O inability to breath from the left side since 1 year.
H/O 3 nasal surgeries for polyps (details not available).
M.R.I of the brain and paranasal sinuses was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted axial images.
5 mm thick T1 Weighted, STIR and Fast Scan (T2 *) coronal images.
After administration of contrast 5 mm thick T1 Weighted coronal, axial and sagittal images were obtained.
There is evidence of an intermediate signal intensity soft tissue lesion on the T1 Weighted images in the paranasal sinuses bilaterally. This lesion appears hyperintense on the T2 Weighted and STIR images. Hypointense signal on all the pulse sequences is noted in some places and which may represent concretions.
The osteomeatal complexes are not well-identified and are most likely plugged with inflammatory tissue. The nasal septum is in the midline. The superior and middle nasal turbinates and the nasal cavity are also not well-differentiated. Evidence of surgical intervention is noted in the maxillary sinuses bilaterally.
The visualized orbits, skull base and the oropharynx are unremarkable.
There is no focal area of altered signal intensity in the brain parenchyma.
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.
After administration of contrast, there is diffuse enhancement of the above described lesion in the paranasal sinuses and enhancement of the inflammatory mucosa in the maxillary sinuses bilaterally.
1. Post-operative status.
2. Soft tissue in the paranasal sinuses bilaterally as described most likely represents inflammatory tissue (probably multiple polyposis in the given clinical setting).