ke/sb/rg/nl.
Name of the Patient : Abc Xyz Pothilmn / F / 55 yrs.
Referred by : Dr. Abc Xyzstak / Dr. Abc Xyzeth.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O dementia with right focal asymmetry with right pyramidal symptoms and seizures.
Now C/O forgetfullness.
EXAMINATION :
M.R.I of the brain was performed using the following parameters :
5 mm thick T1 Weighted, proton and T2 Weighted axial images.
5 mm thick FLAIR and Fast Scan (T2 *) coronal images.
5 mm thick T1 Weighted sagittal images.
OBSERVATION :
There is a large, well-defined, mass lesion in the left parieto-occipital region, which measures approximately 5.5 x 5.6 x 3.2 cms. This lesion is hypointense to normal white matter on the T1 Weighted images and is heterogeneously hypointense on the proton, T2 Weighted and FLAIR images with few hyperintense areas. There is gross surrounding white matter edema in the left temporo-parieto-occipital region with mass effect and effacement of the occipital horn, temporal horn and perimesencephalic cistern on the left side. Edema is seen to encroach into the splenium of the corpus callosum on the left side, left thalamus, left external capsule and the posterior limb of the left internal capsule. There is compresion upon the body of the left lateral ventricle with shift of the midline structures to the right.
There is slight fullness of the right lateral ventricle. The third and fourth ventricles are normal. The basal cisternal spaces are unremarkable. No obvious vascular anomaly is identified on this study.
..2/.
- 2 - Scan-00003
IMPRESSION :
The MRI features are suggestive of a large, well-defined, mass lesion in the left parieto-occipital region measuring approximately 5.5 x 5.6 x 3.2 cms with mass effect as described. This most likely is an intracranial neoplasm, the etiology of which is not specific. However the possibility of a glioblastoma multiforme or a lymphoma should be considered.
As compared to the previous CT Scan dated 00.00.0000, there is increase in the size of the lesion and the mass effect.