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sb/bv/rg/nl

Name of the Patient : Abc XyzPalmn / M / 11 yrs.
Referred by : Dr. Abc Xyzbholkar.
Examination : M.R.I. of the Brain (Plain and Contrast).

CLINICAL PROFILE :

C/O hearing loss in the left ear since the age of 5 years with
occasional giddiness since 1 month.

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 coronal images.
MR cisternogram was obtained in coronal plane.

After administration of contrast the following parameters were used :

3 mm thick T1 Weighted coronal images (with fat saturation).
3 mm thick T1 Weighted axial images with magnetization transfer.
5 mm thick T1 Weighted sagittal images with magnetization transfer through the brain.

OBSERVATION :

There is no focal area of altered signal intensity in the brain parenchyma.

The seventh and eighth cranial nerve complex on either side is unremarkable.

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.


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After contrast administration there is no area of abnormal enhancement in the brain parenchyma per se, meninges or along the seventh and eighth cranial nerve complex on either side.

Inflammatory changes are noted in the sphenoid sinus and maxillary antra bilaterally and in the mastoid air cells bilaterally more on the left side. Note is also made of enlarged adenoids.

IMPRESSION :

Sinusitis and mastoid inflammation as described.

No other significant abnormality is detected on this study.


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