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sb/bv/rg/nl

Name of the Patient : Abc Xyza Klmn / F / 2 1/2 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

H/O left temporal lobe surgery on 00.00.0000 (details not available).
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.

3 mm thick T1 Weighted and T2 Weighted coronal images.

4 mm thick FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There is evidence of a left temporal craniotomy.

There is slight reduction in the volume of the left temporal lobe. There is evidence of partial left temporal lobectomy along its medial and inferior margins with excision of the left hippocampus.

There is an extra-axial CSF signal intensity lesion on all the pulse sequences along the medial and inferior left temporal lobe margins which is the sequelae of previous surgery. Ill-defined, hyperintense signal on the T2 Weighted images in the underlying parenchyma may represent gliotic changes.

A lacune is noted in the left thalamus.

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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 :

1. Post-operative status with partial left temporal lobectomy as described.

2. A lacune in the left thalamus.

As compared to the previous MRI dated 00.00.0000, the patient is now status post-operative with partial excision of the left temporal lobe. A lacune is noted in the left thalamus. The previously identified intra-axial lesion is no longer identified.




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