Name of the Patient : Abc Xyz lmn / F / 78 yrs.
Referred by : Dr. Abc Xyzhta.
Examination : M.R.I. of the Brain.
CLINICAL PROFILE :
C/O Sjogren syndrome.
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.
Lacunar infarcts are noted in the insular cortex bilaterally. Prominent perivascular spaces are noted in the lentiform nuclei and centrum semiovale bilaterally.
There is a small, extra-axial, intermediate signal intensity lesion on the T1 Weighted images in the left temporal region. This lesion is slightly hyperintense on the proton density and FLAIR images but is relatively hypointense on the T2 Weighted images (scans 104.9, 105.14, 15).
Both the lateral, third and the fourth ventricles are normal. There is slight prominence of the cerebral cortical sulci, cerebellar folia and the basal cisternal spaces bilaterally. There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.
Incidental note is made of beaking of the cerebellar tonsils.
1. A small, extra-axial, intermediate signal intensity lesion in the left temporal region is not specific for a single etiology. This may represent a meningioma or a meningeal based pathology like sarcoid, pachymeningitis or small cell tumors.
A contrast enhanced scan would be worthwhile.
2. Mild cerebral and cerebellar atrophy.
3. Lacunar infarcts in the insular cortex bilaterally.