sb/bv/rg/nl

Name of the Patient : Abc XyzBalchanlmn / F / 25 yrs.
Referred by : Dr. Abc Xyztel.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O seizures since 2 months.

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, T2 Weighted and Fast Scan (T2 *) coronal images.

OBSERVATION :

There is seen a small, subcentimeter, hypointense lesion on the proton density and T2 Weighted images in the right precentral cortex. This lesion is not well differentiated on the T1 Weighted images. There is mild perilesional edema with slight sulcal space effacement in the right fronto-parietal region (scan 105.8).

Another suspicious lesion is noted just lateral to the above described lesion (scan 105.7).

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 :

A small, subcentimeter, lesion in the right precentral cortex
with mild perilesional edema as described most likely represents a granuloma, following the signal characteristics of a cysticercus in the granular-nodular stage.

Patient refused contrast enhanced study.

A follow-up scan would be worthwhile.