hs/sb/nl/nl
Name of the Patient : Abc Xyzi Salmn / F / 70 yrs.
Referred by : Dr. Abc Xyzdar.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O gait imbalance since 6 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.
4 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is evidence of a well-defined lesion having a diameter of 2.3 cms, located in the cerebellar vermis. This lesion is predominantly hypointense with a few hyperintense areas on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images. A few hyperintense areas on the T1 Weighted images are seen within this lesion. There is mild indentation upon the fourth ventricle.
Smaller lesions which are hypointense on the proton, T2 Weighted, FLAIR and Fast Scan (T2 *) images are seen within the left fronto-parietal lobes, right cerebellar hemisphere and the pons. These lesions are mildly hyperintense to white matter on the T1 Weighted images.
There is mild fullness of the third and both the lateral ventricles. There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally.
The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
IMPRESSION :
The MRI features are suggestive of multiple, well-defined lesions within the cerebellar vermis, left fronto-parietal lobes, right cerebellar hemisphere and the pons as described and these are most likely calcified (as seen on the CT Scan) and would represent old granulomas. However, the possibility of these representing cavernous angiomas cannot be entirely excluded.
As compared to the previous MRI dated 00.00.0000, there is no significant change noted.