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hs/ke/nl/nl

Name of the Patient : Abc Xyznd Jailmn / M / 25 yrs.
Referred by : Dr. Abc Xyzwant.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

Known C/O neurocysticercosis.
Patient is HIV +ve.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted, proton and T2 Weighted axial images.

4 mm thick FLAIR and Fast Scan (T2 *) coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are atleast two subcentimeter sized lesions within the left temporo-parietal lobes. These are hypointense with a central hyperintensity on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images (they are not well-identified on the T1 Weighted images). Hyperintense areas on the proton, T2 Weighted and FLAIR images are seen around the lesion adjacent to the left atrium and may represent edema/gliotic changes.

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 :

In a known C/O neurocysticerosis, the MRI features are suggestive of cysticercii in the granular nodular or nodular stage in the left temporo-parietal lobes as described.

No previous investigations were available.


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