Name of the Patient : Abc Xyzaj Plmn / M / 52 yrs.
Referred by : Dr. Abc Xyzhalani.
Examination : M.R.I. of the Sella & Perisellar Region.
CLINICAL PROFILE :
M.R.I of the sella and perisellar region was performed using the following parameters :
3 mm thick T1 Weighted and T2 Weighted coronal images.
3 mm thick T1 Weighted sagittal images.
The brain was stuided with 5 mm thick T2 Weighted axial images and 5 mm thick FLAIR coronal images.
The pituitary gland is normal in its size, contour and location and reveals normal signal intensity. The posterior pituitary gland reveals normal hyperintense signal on the T1 Weighted images. The pituitary stalk is in the midline. The hypothalamus is unremarkable.
There are small well-circumscribed areas in the temporal and occpital lobes bilaterally, left thalamus, left frontal lobe and left high fronto-parietal region. These are seen to follow CSF signal intensity characteristics on all the pulse sequences. Few of these lesions show a hyperintense speck on the T1 Weighted images which would represent the scolex and these lesions would represent cysticercii.
Lacunar infarcts (iso to hyperintense to CSF) are noted in the caudate and lentiform nuclei bilaterally. Few small bright foci are seen in the white matter in the frontal lobes bilaterally and these are most likely ischemic in etiology.
- 2 - Scan-00007
Both the lateral and third show mild fullness. The fourth ventricle is normal. The basal cisternal spaces are unremarkable.
There is mild prominence of the cerebral cortical sulci and cerebellar folia bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of pansinusitis.
The MRI features are suggestive of :
1. No significant abnormality detected within the sella and perisellar region.
2. Granulomatous infective lesions in the temporal and occipital lobes bilaterally, left thalamus, left frontal lobe and left high fronto-parietal region following the signal characteristics of cysticercii in the vesicular stage.
3. Lacunar infarcts in the lentiform and caudate nuclei bilaterally.